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NPI Code Detail

MEDICARE: ERICA MARK

MEDICARE:   ERICA  MARK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician303376LA
22084P0800XPsychiatry Physician340206NY

General Provider Information

NPI Number : 1275943888
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA MARK
Provider Business Mailing Address
First Line : PO BOX 24449
Second Line :
City : NEW YORK
State : NY
Zip : 10087-0589
Country : US
Telephone Number : 833-351-8255
Fax Number :
Provider Business Practice Location Address
First Line : 301 MAIN ST STE 2200
Second Line :
City : BATON ROUGE
State : LA
Zip : 70801-0014
Country : US
Telephone Number : 833-351-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2014
Last Update Date : 10/24/2025

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Directions to “ ERICA MARK ” Practice Location

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