Provider Demographics
NPI:1366951170
Name:LONEY, ERICA MARIA (MSN, ACNPC-AG, OCN)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:MARIA
Last Name:LONEY
Suffix:
Gender:F
Credentials:MSN, ACNPC-AG, OCN
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:MARIA
Other - Last Name:PALMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, ACNPC-AG, OCN
Mailing Address - Street 1:1275 YORK AVENUE
Mailing Address - Street 2:M16
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-639-2000
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-639-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF431195-1363LA2100X
NY644277163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse