Individual
YVROSE PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MARGARET DR, VALLEY STREAM, NY 11580-1741
(516) 359-3015
Mailing address
30 MARGARET DR, VALLEY STREAM, NY 11580-1741
(516) 359-3015
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164
—
NY
Enumeration date
06/15/2016
Last updated
06/15/2016
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