Erica Lee Mailand, MA
Individual provider Active NPI Early Intervention Provider Agency · East Moriches, NY
NPI 1376900175 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1376900175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 97 Paquatuck Ave
East Moriches, NY 11940-1206 - Phone
- (631) 678-5097
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
97 Paquatuck Ave
East Moriches, NY 11940-1206
Mailing address
97 Paquatuck Ave
East Moriches, NY 11940-1206
Phone (631) 678-5097
Other providers in East Moriches, NY
- Melanie Kuklis
- Carly Lawrence
- Irene Logan
- Diana Lucenti
- Kristina Macdonald
- Kathleen Frances Malsky
- Krystie Leigh Manaro
- Kaitlyn Martin
- William C McConnell
- Cynthia Lynn McDonald
All providers in East Moriches, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.