Provider Demographics
NPI:1730599853
Name:PIERRE LOUIS, MARIE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:PIERRE LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2477 BRIGHAM ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1003
Mailing Address - Country:US
Mailing Address - Phone:646-400-8026
Mailing Address - Fax:718-676-1228
Practice Address - Street 1:2477 BRIGHAM ST FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1003
Practice Address - Country:US
Practice Address - Phone:646-400-8026
Practice Address - Fax:718-676-1228
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY703416174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist