Provider Demographics
NPI:1609643428
Name:PIERRE-ANTOINE, BERNITE
Entity Type:Individual
Prefix:
First Name:BERNITE
Middle Name:
Last Name:PIERRE-ANTOINE
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 1:1468 VICTORIA ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1613
Mailing Address - Country:US
Mailing Address - Phone:516-304-9986
Mailing Address - Fax:
Practice Address - Street 1:1468 VICTORIA ST
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1613
Practice Address - Country:US
Practice Address - Phone:516-665-3097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY562952-01163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation