Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pier17 Professional Medical Mgmt

Organization Exclusive Provider Organization · NPI 1295253565

Pier17 Professional Medical Mgmt is an Exclusive Provider Organization in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

3165 Emmons Ave Ste C2-C3
Brooklyn, NY 11235-1785
Phone: (718) 333-1394
Fax: (718) 333-1398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X (NY)

Record details

NPI number1295253565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Inessa Sable — President · (718) 333-1394
NPI enumeratedSeptember 6, 2017
Last updated in NPPESJuly 21, 2022
Mailing address3165 Emmons Ave Ste C2-C3, Brooklyn, NY 11235-1785

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