Provider Demographics
NPI:1427847508
Name:VIGLIANTE, ERICA
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:VIGLIANTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:FRITSCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 ROBIN HILL LN
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1000
Mailing Address - Country:US
Mailing Address - Phone:917-538-1317
Mailing Address - Fax:
Practice Address - Street 1:1 ROBIN HILL LN
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1000
Practice Address - Country:US
Practice Address - Phone:917-538-1317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist