Individual
DR. CANDACE JEAN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 W 86TH ST, SUITE 9C, NEW YORK, NY 10024-3603
(212) 362-2260
(212) 362-2260
Mailing address
315 W 86 ST, #14B, NEW YORK, NY 10024-3177
(212) 362-2260
(212) 362-2260
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
141409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672335
—
NY
Enumeration date
12/13/2006
Last updated
07/08/2007
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