Provider Demographics
NPI:1831178847
Name:WOODS, ERICKA C (PHD)
Entity type:Individual
Prefix:DR
First Name:ERICKA
Middle Name:C
Last Name:WOODS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 HINSDALE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-4504
Mailing Address - Country:US
Mailing Address - Phone:718-495-3787
Mailing Address - Fax:
Practice Address - Street 1:BROOKDALE UNIVERSITY AND MEDICAL CENTER
Practice Address - Street 2:1 BROOKDALE PLAZA - PSYCHIATRY DEPT. - 12TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0153901103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0153901OtherNYS EDUCATION DEPT FOR PS