Provider Demographics
NPI:1467711473
Name:CABRERA, ERICA A
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:A
Last Name:CABRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:A
Other - Last Name:FELDSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 ACORN LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12 ACORN LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-4706
Practice Address - Country:US
Practice Address - Phone:917-716-9536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY856388174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist