Provider Demographics
NPI:1033557954
Name:PIERRE-LOUISW, ROSE-MAI
Entity Type:Individual
Prefix:MRS
First Name:ROSE-MAI
Middle Name:
Last Name:PIERRE-LOUISW
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ROSE-MAI
Other - Middle Name:J
Other - Last Name:PIERRE-LOUIS MICHEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SOCIAL WORK
Mailing Address - Street 1:164 LOCUSTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2009
Mailing Address - Country:US
Mailing Address - Phone:516-424-9172
Mailing Address - Fax:
Practice Address - Street 1:164 LOCUSTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2009
Practice Address - Country:US
Practice Address - Phone:516-424-9172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker