Healthcare Provider Details

I. General information

NPI: 1245192087
Provider Name (Legal Business Name): ERIKA MICHELLE ANGELONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8810 AVENUE J
BROOKLYN NY
11236-3919
US

IV. Provider business mailing address

8810 AVENUE J
BROOKLYN NY
11236-3919
US

V. Phone/Fax

Practice location:
  • Phone: 718-866-4569
  • Fax: 718-223-4437
Mailing address:
  • Phone: 718-866-4569
  • Fax: 718-223-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: