# MEDICAL ASSOCIATES OF ERIE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICAL ASSOCIATES OF ERIE
- **Other names:** Plaza 18 Behavioral Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861025058
- **Legal business name:** MEDICAL ASSOCIATES OF ERIE
- **Authorized official:** NICOLE GROSSI (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (814) 868-2507

## Contact information

- **Practice address:** 537 W 18TH ST, ERIE, PA 16502-1722
- **Practice address phone:** (814) 456-1009
- **Practice address fax:** (814) 454-6051
- **Mailing address:** 1 LECOM PL, ERIE, PA 16505-2571
- **Mailing address phone:** (814) 868-2507
- **Mailing address fax:** (814) 868-2522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2020
- **Last updated:** 02/17/2020