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NPI Code Detail

MEDICARE: KRISTINA ERICKSEN D.O.

MEDICARE: KRISTINA ERICKSEN 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
1208000000XPediatrics Physician290201NY
22080N0001XNeonatal-Perinatal Medicine Physician290201NY

General Provider Information

NPI Number : 1851719850
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA ERICKSEN D.O.
Provider Business Mailing Address
First Line : 2649 STRANG BLVD STE 304
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2938
Country : US
Telephone Number : 646-745-6369
Fax Number :
Provider Business Practice Location Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2014
Last Update Date : 01/23/2026

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Directions to “ KRISTINA ERICKSEN D.O.” Practice Location

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