Provider Demographics
NPI:1053853465
Name:DOTTERER, ERIN E
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:DOTTERER
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 1:49 E HILL RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-1069
Mailing Address - Country:US
Mailing Address - Phone:914-603-3669
Mailing Address - Fax:
Practice Address - Street 1:49 E HILL RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-1069
Practice Address - Country:US
Practice Address - Phone:914-603-3669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist