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NPI Code Detail

MEDICARE: DR. ELSIE JEAN-PIERRE LCSW, PH.D

MEDICARE:  DR. ELSIE  JEAN-PIERRE  LCSW, PH.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
1103TC0700XClinical Psychologist018319-1NY

General Provider Information

NPI Number : 1982760468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELSIE JEAN-PIERRE LCSW, PH.D
Provider Business Mailing Address
First Line : 26 COURT ST
Second Line : SUITE 2111
City : BROOKLYN
State : NY
Zip : 11242-0103
Country : US
Telephone Number : 718-522-1500
Fax Number : 718-522-1535
Provider Business Practice Location Address
First Line : 26 COURT STREET
Second Line : SUITE 2111
City : BROOKLYN
State : NY
Zip : 11242
Country : US
Telephone Number : 718-522-1500
Fax Number : 718-522-1535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 05/07/2010

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