National Provider Identifier
No Name Given Erum, M.D
No Name Given Erum, M.D is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1033644406
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- April 24, 2017
- Last Updated
- August 24, 2022
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4011
Mailing Address
- 1 Woodland Way
- Ithaca, NY 14850-9802
Specialties
- Psychiatry Physician (2084P0800X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1033644406
- Entity Type
- Individual
- Last Name
- Erum
- First Name
- No Name Given
- Credential
- M.D
- Provider Other Last Name
- Erum
- Provider Other First Name
- Fnu
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 1 Woodland Way
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9802
- Mailing Country
- US
- Mailing Phone
- (908) 906-1220
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- April 24, 2017
- Last Updated
- August 24, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Student in an Organized Health Care Education/Training Program (390200000X)