Individual
MS. BETTIE PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 NOSTRAND AVE STE 2, SUITE, BROOKLYN, NY 11226-7181
(718) 421-4224
(718) 421-4774
Mailing address
20 CAMP RD, MASSAPEQUA, NY 11758-3742
(862) 452-3964
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301887-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386450
—
NY
Enumeration date
09/27/2010
Last updated
09/27/2010
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