Provider Demographics
NPI:1407831241
Name:LAMBERT, ERIKA C (MD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:C
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 GENESEE STREET
Mailing Address - Street 2:
Mailing Address - City:CHITTENANGO
Mailing Address - State:NY
Mailing Address - Zip Code:13037-1707
Mailing Address - Country:US
Mailing Address - Phone:315-687-6467
Mailing Address - Fax:315-251-2240
Practice Address - Street 1:304 GENESEE STREET
Practice Address - Street 2:
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-1707
Practice Address - Country:US
Practice Address - Phone:315-687-6467
Practice Address - Fax:315-251-2240
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210476207Q00000X
NY210476-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02336001Medicaid
NY080190977Medicare PIN
NY02336001Medicaid
NYH28021Medicare UPIN