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NPI Code Detail

MEDICARE: MS. ERICKA RENEE WOODS B.S.

MEDICARE: MS. ERICKA RENEE WOODS B.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1467786954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERICKA RENEE WOODS B.S.
Provider Business Mailing Address
First Line : 1391 NELSON AVENUE
Second Line :
City : BRONX
State : NY
Zip : 10452
Country : US
Telephone Number : 718-732-7080
Fax Number :
Provider Business Practice Location Address
First Line : 1391 NELSON AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-2440
Country : US
Telephone Number : 718-732-7080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2009
Last Update Date : 09/30/2009

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