Avidano, Erica Dawn
Avidano, Erica Dawn is an individual health care provider with primary practice located at 2141 45Th Rd , Long Island City NY 11101-4706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Avidano, Erica Dawn can be contacted via phone (212) 965-7000.Contact Information
Primary practice address
2141 45Th Rd
Long Island City NY 11101-4706
Phone: (212) 965-7000
Fax: (212) 965-7024
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 421109 | New York |
Profile Details
NPI number | 1487991881 |
---|---|
LBN Legal business name | Avidano, Erica Dawn |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 7th, 2013 |
Last updated | May 10th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487991881 | NPPES |
New York | MEDICAID | 03530898 |
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