Provider Demographics
NPI:1801568993
Name:PIERRE, KATHELINE (MD, GAPH, LPC)
Entity type:Individual
Prefix:
First Name:KATHELINE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:MD, GAPH, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7942
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10116-7942
Mailing Address - Country:US
Mailing Address - Phone:347-208-1582
Mailing Address - Fax:
Practice Address - Street 1:201 50TH AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5824
Practice Address - Country:US
Practice Address - Phone:347-208-1582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty