MEDICARE: MS. ERIKA BRITT WACHTMEISTER D.O.

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
1	207R00000X	Internal Medicine Physician		NY

General Provider Information

NPI Number	:	1518144617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIKA BRITT WACHTMEISTER D.O.

Provider Business Mailing Address
First Line	:	427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.
Second Line	:	ST. MARY'S HOSPITAL @ AMSTERDAM
City	:	AMSTERDAM
State	:	NY
Zip	:	12010
Country	:	US
Telephone Number	:	518-841-7430
Fax Number	:	518-841-7121

Provider Business Practice Location Address
First Line	:	380 GUY PARK AVE
Second Line	:	ST. MARY'S HOSPITAL, FAM HLTH CNTR @ CARONDELET PAVILIO
City	:	AMSTERDAM
State	:	NY
Zip	:	12010
Country	:	US
Telephone Number	:	518-841-7415
Fax Number	:	518-841-7422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	05/11/2026

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