Provider Demographics
NPI:1326111725
Name:PILIERE, DENNIS (LCSWR)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:PILIERE
Suffix:
Gender:M
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 TIPPIN DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2130
Mailing Address - Country:US
Mailing Address - Phone:631-374-5799
Mailing Address - Fax:631-427-5807
Practice Address - Street 1:2704 GRAND AVE STE 5
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3599
Practice Address - Country:US
Practice Address - Phone:631-374-5799
Practice Address - Fax:516-307-3396
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070043-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN31Z71OtherMEDICARE