Provider Demographics
NPI:1588734057
Name:PIERRE-LOUIS, JUNE N (PHD)
Entity type:Individual
Prefix:MS
First Name:JUNE
Middle Name:N
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-1407
Mailing Address - Country:US
Mailing Address - Phone:631-757-6160
Mailing Address - Fax:631-757-6160
Practice Address - Street 1:29 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-1407
Practice Address - Country:US
Practice Address - Phone:631-757-6160
Practice Address - Fax:631-757-6160
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006182133N00000X
133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education