Provider Demographics
NPI:1366267254
Name:SAENZ, ERICKA E
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:E
Last Name:SAENZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:CALLICOON
Mailing Address - State:NY
Mailing Address - Zip Code:12723-0104
Mailing Address - Country:US
Mailing Address - Phone:800-344-5439
Mailing Address - Fax:
Practice Address - Street 1:32 LOWER MAIN ST UNIT 1
Practice Address - Street 2:
Practice Address - City:CALLICOON
Practice Address - State:NY
Practice Address - Zip Code:12723-5001
Practice Address - Country:US
Practice Address - Phone:800-344-5439
Practice Address - Fax:800-344-5439
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator