Individual
LEE KIM ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-3023
(212) 794-3182
Mailing address
535 W ALLENS LN, PHILADELPHIA, PA 19119-2807
(267) 455-9156
(212) 794-3182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD417093
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018834220001
—
PA
Enumeration date
10/10/2005
Last updated
07/21/2022
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