Provider Demographics
NPI:1346410529
Name:JEAN-PIERRE, MICHAELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAELLE
Middle Name:
Last Name:JEAN-PIERRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:949 E 99TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4011
Mailing Address - Country:US
Mailing Address - Phone:347-787-3534
Mailing Address - Fax:
Practice Address - Street 1:82-12 151 AVE.
Practice Address - Street 2:PHYSICIAN'S CHOICE SURGICENTER, INC. SUITE 12
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414
Practice Address - Country:US
Practice Address - Phone:718-322-9800
Practice Address - Fax:719-832-3759
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247427261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical