Provider Demographics
NPI:1952761199
Name:JAMES, ERICA MONTANO
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:MONTANO
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:MONTANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17620 148TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-5518
Mailing Address - Country:US
Mailing Address - Phone:718-553-1100
Mailing Address - Fax:718-553-1111
Practice Address - Street 1:17620 148TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5518
Practice Address - Country:US
Practice Address - Phone:718-553-1100
Practice Address - Fax:718-553-1111
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist