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NPI Code Detail

MEDICARE: NICHOLSON PIERRE

MEDICARE: NICHOLSON PIERRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1073134383
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLSON PIERRE
Provider Business Mailing Address
First Line : 1763 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5037
Country : US
Telephone Number : 347-437-1059
Fax Number :
Provider Business Practice Location Address
First Line : 1763 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5037
Country : US
Telephone Number : 347-437-1059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2020
Last Update Date : 12/11/2020

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Directions to “ NICHOLSON PIERRE ” Practice Location

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