Healthcare Provider Details

I. General information

NPI: 1255537551
Provider Name (Legal Business Name): GEORGES JEAN-PIERRE M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2007
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 FORDHAM LN
WOODMERE NY
11598-1013
US

IV. Provider business mailing address

1061 FORDHAM LN
WOODMERE NY
11598-1013
US

V. Phone/Fax

Practice location:
  • Phone: 516-408-8450
  • Fax:
Mailing address:
  • Phone: 516-725-3942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number244238
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number244238
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: