Provider Demographics
NPI:1477265015
Name:PIERRE -LOUIS, ESNEL (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ESNEL
Middle Name:
Last Name:PIERRE -LOUIS
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 ERASMUS ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-8450
Mailing Address - Country:US
Mailing Address - Phone:786-780-3593
Mailing Address - Fax:
Practice Address - Street 1:146 ERASMUS ST APT 2C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-8450
Practice Address - Country:US
Practice Address - Phone:786-780-3593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145158103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent