MEDICARE: ERIKA CALDERON

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	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1962893321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA CALDERON

Provider Business Mailing Address
First Line	:	1730 MULFORD AVE APT 17K
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-4355
Country	:	US
Telephone Number	:	347-664-0731
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 MULFORD AVE APT 17K
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-4355
Country	:	US
Telephone Number	:	347-664-0731
Fax Number	:

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

Provider Enumeration Date	:	02/06/2015
Last Update Date	:	07/23/2025

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Directions to “ ERIKA CALDERON ” Practice Location

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