Provider Demographics
NPI:1497292650
Name:PIERRE-NOEL, NATHALIE (RPH)
Entity Type:Individual
Prefix:
First Name:NATHALIE
Middle Name:
Last Name:PIERRE-NOEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 CLARKSON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2015
Mailing Address - Country:US
Mailing Address - Phone:718-774-1656
Mailing Address - Fax:718-774-5636
Practice Address - Street 1:23520 147TH AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-3226
Practice Address - Country:US
Practice Address - Phone:718-749-5515
Practice Address - Fax:718-749-5513
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist