# ERICA LYNN AXELROD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679824213
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 114093021 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 696020961 | NY | Yes |
| 252Y00000X | Early Intervention Provider Agency | 696021961 | NY | — |

## Other

- **Enumeration date:** 09/22/2012
- **Last updated:** 09/22/2012