Provider Demographics
NPI:1912782905
Name:PIERRO, NANCY DOROTHY (MHC-LP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:DOROTHY
Last Name:PIERRO
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:DOROTHY
Other - Last Name:KLOSKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHC-LP
Mailing Address - Street 1:62 SEJON DR
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-3245
Mailing Address - Country:US
Mailing Address - Phone:631-889-9612
Mailing Address - Fax:
Practice Address - Street 1:250B ROUTE 25A
Practice Address - Street 2:
Practice Address - City:SHOREHAM
Practice Address - State:NY
Practice Address - Zip Code:11786-2106
Practice Address - Country:US
Practice Address - Phone:631-849-5431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP118984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty