Provider Demographics
NPI:1396184388
Name:PIERRE, ANGIE FATIMA (AUD)
Entity Type:Individual
Prefix:MRS
First Name:ANGIE
Middle Name:FATIMA
Last Name:PIERRE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 FORD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1310
Mailing Address - Country:US
Mailing Address - Phone:718-757-5074
Mailing Address - Fax:
Practice Address - Street 1:261 5TH AVE
Practice Address - Street 2:901
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7701
Practice Address - Country:US
Practice Address - Phone:212-679-3499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-23
Last Update Date:2013-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000036911231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist