Provider Demographics
NPI:1508165978
Name:PIERRE LOUIS, SARA LEE
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LEE
Last Name:PIERRE LOUIS
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 1:840 E 17TH ST
Mailing Address - Street 2:APT. 4E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3154
Mailing Address - Country:US
Mailing Address - Phone:347-425-6324
Mailing Address - Fax:
Practice Address - Street 1:840 E 17TH ST
Practice Address - Street 2:APT. 4E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3154
Practice Address - Country:US
Practice Address - Phone:347-425-6324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295640-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse