Individual
ERIKA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2094 FIVE MILE LINE RD, PENFIELD, NY 14526-1450
(818) 687-6657
Mailing address
272 E MAIN ST APT 1006, ROCHESTER, NY 14604-2132
(818) 687-6657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063720
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2022
Last updated
04/18/2024
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