Erickson, Candace Jean
Erickson, Candace Jean is an sole proprietor health care provider with primary practice located at 5 W 86Th St Suite 9C, New York NY 10024-3603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Erickson, Candace Jean can be contacted via phone (212) 362-2260.Contact Information
Primary practice address
5 W 86Th St Suite 9C
New York NY 10024-3603
Phone: (212) 362-2260
Fax: (212) 362-2260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 141409 | New York |
Profile Details
| NPI number | 1629139647 |
|---|---|
| LBN Legal business name | Erickson, Candace Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1629139647 | NPPES |
| New York | MEDICAID | 0672335 |
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