Provider Demographics
NPI:1730845348
Name:PIERRE, ROSE E (TR)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:E
Last Name:PIERRE
Suffix:
Gender:F
Credentials:TR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3304
Mailing Address - Country:US
Mailing Address - Phone:914-309-4895
Mailing Address - Fax:
Practice Address - Street 1:650 E 81ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3304
Practice Address - Country:US
Practice Address - Phone:914-309-4895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist