Ryan Pierre
Licensed Practical Nurse in Brentwood, NY. Individual provider (NPI-1).
NPI number1023652575
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1023652575
- Entity type
- Individual (NPI-1)
- Name
- Ryan Pierre
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 336873 | NY | Yes |
Practice location
53 4th StBrentwood, NY 11717-5512
Phone 631-704-6734
Mailing address
53 4th StBrentwood, NY 11717-5512
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