Individual
MR. ERIK P MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
352 7TH AVE, RM 1205, NEW YORK, NY 10001-5411
(212) 627-7560
(212) 627-7563
Mailing address
8390 CHAMPIONS GATE BLVD, STE 215, CHAMPIONS GATE, FL 33896-8310
(321) 401-1364
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304475
NY
Other
Enumeration date
09/15/2008
Last updated
01/18/2017
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