Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X0054831 | NY |
NPI | 1003938390 |
---|---|
Provider Name | Dr. Karen Lynne Erickson |
First Address | New York, NY 10024-6416 |
Second Address | New York, NY 10024-6416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C054835 | WORKERS COMPENSATION (01) | NY |
P1311992 | OXFORD (01) | |
T53219 | (02) |