Erience Reid Dickerson Sr, is a
Counselor - Mental Health based in Far Rockaway Queens, New York. Erience Reid Dickerson Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
694 20th Street Far Rockaway Ny, Far Rockaway Queens, New York. He can be reached at his office (for appointments etc.) via phone at
(646) 818-2541.
NPI number for Erience Reid Dickerson Sr is 1275234924 and his current mailing address is 497 Beach 20th St, Far Rockaway, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275234924.
Healthcare Provider's Profile
| Full Name | Erience Reid Dickerson Sr |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
|---|
| Location | 694 20th Street Far Rockaway Ny, Far Rockaway Queens, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275234924
- Provider Enumeration Date: 03/10/2023
- Last Update Date: 03/10/2023
Medical Identifiers
Medical identifiers for Erience Reid Dickerson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275234924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erience Reid Dickerson Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erience Reid Dickerson Sr,
497 Beach 20th St,
Far Rockaway, NY 11691-3621
Ph: (718) 845-2621 | Erience Reid Dickerson Sr,
694 20th Street Far Rockaway Ny,
Far Rockaway Queens, NY 11691
Ph: (646) 818-2541 |
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