ERIKA DICKERSON


Address: 15 W 136th St, 2nd Floor, Kountz Pavilion, New York, NY 10037-2104
Phone: 2129398078

ERIKA DICKERSON (NPI# 1508219106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508219106
Entity Type Individual
Full Name ERIKA DICKERSON
Credential NP
Practice Address 15 W 136th St
2nd Floor, Kountz Pavilion
New York
NY 10037-2104
Practice Telephone 2129398078
Enumeration Date 2016-07-19
Last Update Date 2016-07-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F307826-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15 W 136TH ST
2ND FLOOR, KOUNTZ PAVILION
City NEW YORK
State NY
Zip Code 10037-2104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609003060 Ackeilia K Bloomfield-heatrice Dentist 15 W 136th St, New York, NY 10037-2104 2009-06-12
1851887293 Shahabeddin Sassanpour Student in an Organized Health Care Education/Training Program 15 W 136th St, New York, NY 10037-2104 2018-07-09
1962935221 Somtochukwu Agunwah Student in an Organized Health Care Education/Training Program 15 W 136th St, New York, NY 10037-2104 2017-04-04
1699185041 Raj Kamlesh Thaker Dentist 15 W 136th St, New York, NY 10037-2104 2014-05-06

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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