Healthcare Provider Details

I. General information

NPI: 1588273585
Provider Name (Legal Business Name): ERIN ROSE MAY AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3040 21ST ST APT 608
ASTORIA NY
11102-4456
US

IV. Provider business mailing address

3040 21ST ST APT 608
ASTORIA NY
11102-4456
US

V. Phone/Fax

Practice location:
  • Phone: 516-395-7300
  • Fax:
Mailing address:
  • Phone: 516-395-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF431759-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: