Individual
DR. BLAKE ROBERT ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 W END AVE STE 1A, NEW YORK, NY 10025-6815
(646) 355-8444
(972) 947-5176
Mailing address
680 W END AVE STE 1A, NEW YORK, NY 10025-6815
(646) 355-8444
(972) 947-5176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
306115
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
07/03/2023
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