Individual
ERICKA J ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
Mailing address
1623 FLATBUSH AVE # 1623, BROOKLYN, NY 11210-3262
(646) 755-1345
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
5180
NY
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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