Provider Demographics
NPI:1336549096
Name:PIERRE-LOUIS, MADONE (RN)
Entity Type:Individual
Prefix:
First Name:MADONE
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 TABOR PL
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5328
Mailing Address - Country:US
Mailing Address - Phone:973-420-6067
Mailing Address - Fax:
Practice Address - Street 1:588 TABOR PL
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5328
Practice Address - Country:US
Practice Address - Phone:973-420-6067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-01
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY488189-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse