Healthcare Provider Details

I. General information

NPI: 1508219106
Provider Name (Legal Business Name): ERIKA COOPER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 W 136TH ST 2ND FLOOR, KOUNTZ PAVILION
NEW YORK NY
10037-2104
US

IV. Provider business mailing address

322 W 52ND ST # 1884
NEW YORK NY
10019-6262
US

V. Phone/Fax

Practice location:
  • Phone: 212-939-8078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number406682-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF307826-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: