Provider Demographics
NPI:1326829706
Name:PIERRE-LOUIS, JEAN JUNIOR
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:JUNIOR
Last Name:PIERRE-LOUIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 AVENUE I # 1367
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2935
Mailing Address - Country:US
Mailing Address - Phone:929-541-2198
Mailing Address - Fax:
Practice Address - Street 1:948 ALBANY AVE, 1FLR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:929-541-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker