Rousseau Etienne

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

325167 Issued in NY

Practice address

1695 Remsen Ave
Brooklyn, NY 11236-5233

Phone

(917) 335-7427

Fax

(718) 287-4600

NPI assigned

Apr 7, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1043674922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365233",
            "telephone_number": "917-335-7427",
            "fax_number": "718-287-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365233",
            "telephone_number": "917-335-7427",
            "fax_number": "718-287-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "ROUSSEAU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "325167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Etienne I
• Marjorie Etienne
• Marjorie Etienne, RPA-C
• Nadege Etienne, LPN
• Rosena Etienne
• Sandra Etienne
• Shinda Etienne
• Valcy M. Etienne, M.D.
• Yolledie Etienne
• Alexandra Etkin, M.D.

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.