Healthcare Provider Details

I. General information

NPI: 1740198555
Provider Name (Legal Business Name): ERIKA WELLS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 MERRITTS RD
FARMINGDALE NY
11735-3265
US

IV. Provider business mailing address

141 MERRITTS RD
FARMINGDALE NY
11735-3265
US

V. Phone/Fax

Practice location:
  • Phone: 516-694-1122
  • Fax:
Mailing address:
  • Phone: 516-694-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: