Individual
KATHERINE ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4507 3RD AVE, BRONX, NY 10457-1515
(718) 960-9196
(718) 960-9138
Mailing address
4507 3RD AVE, BRONX, NY 10457-1515
(718) 960-6497
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
304259
NY
Other
Enumeration date
03/22/2017
Last updated
05/16/2022
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