MEDICARE: IMMACULA PIERRE LOUIS SR.

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
1	164W00000X	Licensed Practical Nurse	3156731	NY

General Provider Information

NPI Number	:	1689094476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMMACULA PIERRE LOUIS SR.

Provider Business Mailing Address
First Line	:	577 E 82ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3118
Country	:	US
Telephone Number	:	917-673-9283
Fax Number	:

Provider Business Practice Location Address
First Line	:	577 E 82ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3118
Country	:	US
Telephone Number	:	917-673-9283
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	04/21/2014

Similar Medicare Providers

1457850562 — RAHEEMAN JOY FREDERICK
Practice Location Address:

561 E 82ND ST
BROOKLYN, NY
11236-3118

Practice Phone: 646-322-8385
Practice Fax:

1699823856 — MRS. PATRICIA MORGAN LPN
Practice Location Address:

8024 15TH AVE
BROOKLYN, NY
11228-3118

Practice Phone: 718-331-3118
Practice Fax:

1124234190 — DR. LAURA JEAN PATTERSON D.C.
Practice Location Address:

3118 BLUEBELL AVE N
BROOKLYN PARK, MN
55443-1778

Practice Phone: 612-242-1204
Practice Fax:

1902047780 — MRS. ROSANNA DEGREZIA OTR/L
Practice Location Address:

8010 15TH AVE
BROOKLYN, NY
11228-3118

Practice Phone: 718-757-6191
Practice Fax:

1740586866 — JAMIE GREENBAUM
Practice Location Address:

184 KENT AVE , APT D309
BROOKLYN, NY
11211-3118

Practice Phone: 301-461-1733
Practice Fax:

1730466400 — IGOR MOLCHADSKIY
Practice Location Address:

3118 BRIGHTON 4TH ST APT 3F
BROOKLYN, NY
11235-7251

Practice Phone: 347-532-0545
Practice Fax:

Directions to “ IMMACULA PIERRE LOUIS SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.