Healthcare Provider Details

I. General information

NPI: 1366358129
Provider Name (Legal Business Name): ERIKA ORNER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 210TH ST
BRONX NY
10467-2401
US

IV. Provider business mailing address

26 ANNADALE ST
ARMONK NY
10504-1401
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-7775
  • Fax:
Mailing address:
  • Phone: 508-223-6448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: