Provider Demographics
NPI:1912983222
Name:ARTY, PIERRE RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:RICHARD
Last Name:ARTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 65TH ST
Mailing Address - Street 2:#2C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4816
Mailing Address - Country:US
Mailing Address - Phone:718-245-3936
Mailing Address - Fax:718-245-3051
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:DEPT OF PSYCHIATRY - BLDG ADMINISTRATION
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-245-3935
Practice Address - Fax:718-245-3051
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1943822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
54M201Medicare ID - Type Unspecified