Provider Demographics
NPI:1821693243
Name:BROWN, ERICA MARIE (CNIM)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:MARIE
Other - Last Name:BACHMAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNIM
Mailing Address - Street 1:399 KNOLLWOOD RD STE 108
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1916
Mailing Address - Country:US
Mailing Address - Phone:914-949-8501
Mailing Address - Fax:914-949-8502
Practice Address - Street 1:399 KNOLLWOOD RD STE 108
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1916
Practice Address - Country:US
Practice Address - Phone:914-949-8501
Practice Address - Fax:914-949-8502
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic