Provider Demographics
NPI:1508988924
Name:CARR, ERIN KATHLEEN (FNP)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:CARR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:M14 - 1443
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-6946
Mailing Address - Fax:212-639-4430
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:M14 - 1443
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6007
Practice Address - Country:US
Practice Address - Phone:212-639-6946
Practice Address - Fax:212-639-4430
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily