MEDICARE: MAGALIE PIERRE-LOUIS M.D.

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	208000000X	Pediatrics Physician	192096	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952464554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGALIE PIERRE-LOUIS M.D.

Provider Business Mailing Address
First Line	:	1086 E 40TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4424
Country	:	US
Telephone Number	:	917-392-0376
Fax Number	:

Provider Business Practice Location Address
First Line	:	3743 76TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6533
Country	:	US
Telephone Number	:	917-392-0376
Fax Number	:	718-677-4043

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	05/22/2015

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