Provider Demographics
NPI:1710442629
Name:PIEKARSKI, JAMIE LEE (NP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:PIEKARSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 N 8TH ST APT S6A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-2030
Mailing Address - Country:US
Mailing Address - Phone:203-623-4950
Mailing Address - Fax:
Practice Address - Street 1:281 FIRST AVENUE
Practice Address - Street 2:BERNSTEIN BLD 7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:203-623-4950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY715015-1163W00000X
NY402699363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse