Basic Information
Provider Information
NPI: 1083736896
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: ERIKA
MiddleName: K.
NamePrefix:  
NameSuffix:  
Credential: P.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 33 LEWIS RD
Address2: 2ND FL
City: BINGHAMTON
State: NY
PostalCode: 13905
CountryCode: US
TelephoneNumber: 6077298156
FaxNumber: 6077293982
Practice Location
Address1: 52 HARRISON ST
Address2:  
City: JOHNSON CITY
State: NY
PostalCode: 13790
CountryCode: US
TelephoneNumber: 6077487468
FaxNumber: 6077546130
Other Information
ProviderEnumerationDate: 04/04/2007
LastUpdateDate: 08/21/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X085001420GAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363A00000X019594NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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