Provider Demographics
NPI:1871845180
Name:SCHNEIDER, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HAVEN CT
Mailing Address - Street 2:APT. S1C
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1928
Mailing Address - Country:US
Mailing Address - Phone:845-729-3866
Mailing Address - Fax:
Practice Address - Street 1:580 WHITE PLAINS RD
Practice Address - Street 2:SUITE 510
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5198
Practice Address - Country:US
Practice Address - Phone:914-345-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086990-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical