Healthcare Provider Details

I. General information

NPI: 1225481773
Provider Name (Legal Business Name): ERIKA M CABRERA-PAULINO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIKA M CABRERA

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

525 E 68TH STREET BOX 99
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-3556
  • Fax: 646-962-0118
Mailing address:
  • Phone: 646-962-3556
  • Fax: 646-962-0118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number701929
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number341569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: