Healthcare Provider Details

I. General information

NPI: 1154743730
Provider Name (Legal Business Name): ERICKA AGUILAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2014
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 E BOSTON POST RD STE 206
MAMARONECK NY
10543-3704
US

IV. Provider business mailing address

521 S 3RD AVE
MOUNT VERNON NY
10550-4519
US

V. Phone/Fax

Practice location:
  • Phone: 646-752-6318
  • Fax:
Mailing address:
  • Phone: 646-752-6318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: