Ericka J. Ennis

Peer Specialist · Brooklyn, NY

Individual Active NPI

NPI number 1679311641

Practice location

1623 Flatbush Ave
Brooklyn, NY 11210-3262
Phone
(718) 377-5755

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NPI record

NPI
1679311641
Entity type
Individual (Type 1)
Enumeration date
July 16, 2024
Last updated
July 16, 2024
Certified
July 15, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 5180 NY

Mailing address

1623 Flatbush Ave # 1623
Brooklyn, NY 11210-3262
Phone
(646) 755-1345

About Ericka Ennis

Ericka J. Ennis is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1623 Flatbush Ave, Brooklyn, NY 11210-3262. The NPI number 1679311641 was assigned on July 16, 2024 and the record was last updated on July 16, 2024.

Ericka Ennis lists a license in the registry: #5180 (NY) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ericka J. Ennis?

The NPI number is 1679311641.

What is the phone number of Ericka Ennis?

The phone number listed for the practice location is (718) 377-5755.

Where is Ericka Ennis located?

1623 Flatbush Ave, Brooklyn, NY 11210-3262.

What is the taxonomy code for Ericka Ennis?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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