Provider Demographics
NPI:1518144617
Name:WACHTMEISTER, ERIKA BRITT (DO)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:BRITT
Last Name:WACHTMEISTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.
Mailing Address - Street 2:ST. MARY'S HOSPITAL @ AMSTERDAM
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-841-7430
Mailing Address - Fax:518-841-7121
Practice Address - Street 1:380 GUY PARK AVE
Practice Address - Street 2:ST. MARY'S HOSPITAL, FAM HLTH CNTR @ CARONDELET PAVILIO
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-841-7415
Practice Address - Fax:518-841-7422
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06151970207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine