Provider Demographics
NPI:1457128175
Name:ERIN KATHERINE MORAN EKM PSYCHIATRY
Entity Type:Organization
Organization Name:ERIN KATHERINE MORAN EKM PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMNP-BC
Authorized Official - Phone:518-703-6840
Mailing Address - Street 1:1280 LEXINGTON AVE FRNT 21381
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2105
Mailing Address - Country:US
Mailing Address - Phone:518-703-6840
Mailing Address - Fax:518-703-6876
Practice Address - Street 1:450 W 42ND ST APT 45S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8215
Practice Address - Country:US
Practice Address - Phone:314-629-9772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1588321350OtherNPI