Healthcare Provider Details

I. General information

NPI: 1528846540
Provider Name (Legal Business Name): ALMA ERICKSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 LEXINGTON AVE RM 14A
NEW YORK NY
10017-6526
US

IV. Provider business mailing address

369 LEXINGTON AVE RM 14A
NEW YORK NY
10017-6526
US

V. Phone/Fax

Practice location:
  • Phone: 212-204-8430
  • Fax:
Mailing address:
  • Phone: 212-204-8430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number39676
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: