Provider Demographics
NPI:1386214088
Name:PINEYRO, ADALINE
Entity Type:Individual
Prefix:
First Name:ADALINE
Middle Name:
Last Name:PINEYRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 NOSTRAND AVENUE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-6013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:493 NOSTRAND AVENUE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-6013
Practice Address - Country:US
Practice Address - Phone:347-486-5278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-26
Last Update Date:2023-12-06
Deactivation Date:2022-06-17
Deactivation Code:
Reactivation Date:2023-12-04
Provider Licenses
StateLicense IDTaxonomies
NY112689104100000X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker