Individual provider · Type 1 NPI

Courtney Pase Erickson

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1154683548 Active

Practice location

1535 Richmond Ave, 3rd Floor
Staten Island, NY 10314-1520

Call (718) 556-1616 Map

Fax (718) 442-9962

Mailing address

182 Utter Ave
Staten Island, NY 10314-3039

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X1230102 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154683548

Courtney Pase Erickson's National Provider Identifier is 1154683548, issued on Jun 12, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 17, 2015.