Provider Demographics
NPI:1699859090
Name:ERRICO, ALBERTO (ATC)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:
Last Name:ERRICO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 PINE ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1627
Mailing Address - Country:US
Mailing Address - Phone:973-635-9441
Mailing Address - Fax:
Practice Address - Street 1:COLLEGE OF ST. ELIZABETH
Practice Address - Street 2:2 CONVENT ROAD
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6989
Practice Address - Country:US
Practice Address - Phone:973-290-4207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000015002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer