Provider Demographics
NPI:1538672167
Name:PIERRE, PERRI (RN)
Entity Type:Individual
Prefix:MR
First Name:PERRI
Middle Name:
Last Name:PIERRE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HARRIET ST
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-1908
Mailing Address - Country:US
Mailing Address - Phone:631-708-5908
Mailing Address - Fax:
Practice Address - Street 1:2 HARRIET ST
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-1908
Practice Address - Country:US
Practice Address - Phone:631-708-5908
Practice Address - Fax:631-708-5908
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY699603-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health