Individual
ERICA DAWN AVIDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2141 45TH RD, LONG ISLAND CITY, NY 11101-4706
(212) 965-7000
(212) 965-7024
Mailing address
2141 45TH RD, LONG ISLAND CITY, NY 11101-4706
(212) 965-7000
(212) 965-7024
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03530898
—
NY
Enumeration date
01/07/2013
Last updated
05/10/2017
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