Healthcare Provider Details

I. General information

NPI: 1891608089
Provider Name (Legal Business Name): ERIK COLLINS NURSE PRACTITIONER IN PSYC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 SEQUOIA DR
CORAM NY
11727-2051
US

IV. Provider business mailing address

162 SEQUOIA DR
CORAM NY
11727-2051
US

V. Phone/Fax

Practice location:
  • Phone: 347-731-9028
  • Fax:
Mailing address:
  • Phone: 347-731-9028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIK COLLINS
Title or Position: PMHNP
Credential:
Phone: 347-731-9028