Healthcare Provider Details

I. General information

NPI: 1902093677
Provider Name (Legal Business Name): ERIKA L DEMARCHE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA L HIRSCHEY

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4746 LYNNVILLE WAY OFC
CLAY NY
13041-8990
US

IV. Provider business mailing address

4746 LYNNVILLE WAY
CLAY NY
13041-8990
US

V. Phone/Fax

Practice location:
  • Phone: 315-225-4902
  • Fax:
Mailing address:
  • Phone: 315-225-4902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number40 401703
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: