Provider Demographics
NPI:1891525986
Name:PIERRE, SHEILLA R
Entity type:Individual
Prefix:
First Name:SHEILLA
Middle Name:R
Last Name:PIERRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15514 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-1018
Mailing Address - Country:US
Mailing Address - Phone:646-398-0876
Mailing Address - Fax:
Practice Address - Street 1:200 E 69TH ST APT 2S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0535
Practice Address - Country:US
Practice Address - Phone:212-920-2904
Practice Address - Fax:646-218-3745
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2634723252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency