Healthcare Provider Details

I. General information

NPI: 1659672517
Provider Name (Legal Business Name): ERIKA MCNAIR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2010
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 MAIN ST
PEEKSKILL NY
10566-2913
US

IV. Provider business mailing address

1 PARADIES LN
NEW PALTZ NY
12561-4031
US

V. Phone/Fax

Practice location:
  • Phone: 914-734-8800
  • Fax:
Mailing address:
  • Phone: 845-255-1760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number635709-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF342030-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: