Individual
DR. NINA PIERPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
19 CLAY ST, MALONE, NY 12953-1905
(518) 483-6481
(518) 483-6481
Mailing address
19 CLAY ST, MALONE, NY 12953-1905
(518) 483-6481
(518) 483-6481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744669
—
NY
01
—
10044843
CAPITAL DISTRICT PHYSICIA
NY
01
—
710890
MVP HEALTH PLAN
NY
Enumeration date
08/31/2006
Last updated
07/08/2007
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