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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487991881 NPPES
New York MEDICAID 03530898

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