Provider Demographics
NPI:1255160941
Name:OCCIANO, ERIKA (PT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:OCCIANO
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 1:4015 81ST ST APT A49
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1342
Mailing Address - Country:US
Mailing Address - Phone:919-703-6287
Mailing Address - Fax:
Practice Address - Street 1:101 GREENWICH ST STE 1505
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-1895
Practice Address - Country:US
Practice Address - Phone:212-347-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048814225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist