Provider Demographics
NPI:1063614634
Name:NILDA PYRONNEAU
Entity type:Organization
Organization Name:NILDA PYRONNEAU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PYRONNEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:201-965-3242
Mailing Address - Street 1:11 BEN FRANKLIN DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:07416-2155
Mailing Address - Country:US
Mailing Address - Phone:201-965-3242
Mailing Address - Fax:
Practice Address - Street 1:1191 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-2012
Practice Address - Country:US
Practice Address - Phone:201-965-3242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00294700302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization