Pierre Renelique MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1813491 Issued in NY

Legal business name

PIERRE RENELIQUE MD PC

Practice address

870 Central Ave
Far Rockaway, NY 11691-4660

Phone

(718) 466-4772

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Pierre Renelique

Title

Sole Proprietor

Phone

(718) 466-4772

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1922170646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 CENTRAL AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914660",
            "telephone_number": "718-466-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE RENELIQUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "RENELIQUE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-466-4772"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1813491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01200788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nercie Philistin Jr.
• Juliana Piarulli, LMSW
• Shaquanna Kristal Picton
• Tyena Savon Pierce
• Lisa Nathalie Pierre Guerrier
• David Pierre, P.T
• Elizabeth Michelle Pierre
• Jeannine Pierre
• Josephine Pierre, LMSW
• Nadine Pierre, LPN

• Specialist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.