Organization
PEDIATRIC INTENSIVE CARE SERVICES PC
Active
Other names
PICSES PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISDON PIERRE MD (PRESIDENT)
(718) 218-5693
Entity
Organization
Contact information
Practice address
2 ETHAN ALLEN DR, SUFFERN, NY 10901-1802
(718) 218-5693
Mailing address
2 ETHAN ALLEN DR, SUFFERN, NY 10901-1802
(718) 218-5693
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080B0002X
Pediatric Obesity Medicine Physician
—
—
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Enumeration date
09/12/2023
Last updated
10/02/2023
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