Individual
PIERRE CAROUSSE JEAN FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
(347) 429-0627
Mailing address
35 PAERDEGAT 2ND ST, BROOKLYN, NY 11236-4131
(347) 429-0627
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
152032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00783459
—
NY
Enumeration date
10/16/2006
Last updated
04/08/2015
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