Provider Demographics
NPI:1528211604
Name:SHANIK, ERIKA RACHEL (PT)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:RACHEL
Last Name:SHANIK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WINTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5025
Mailing Address - Country:US
Mailing Address - Phone:516-496-2911
Mailing Address - Fax:516-496-2911
Practice Address - Street 1:6 WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5025
Practice Address - Country:US
Practice Address - Phone:516-496-2911
Practice Address - Fax:516-496-2911
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024419172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist