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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1629139647 NPPES
New York MEDICAID 0672335

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