MRS. ERICA LYNN LEGAN


Address: 1200 Driving Park Ave, Newark, NY 14513-1090
Phone: 5853551740

MRS. ERICA LYNN LEGAN (NPI# 1821487364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821487364
Entity Type Individual
Full Name MRS. ERICA LYNN LEGAN
Credential FNP-C
Practice Address 1200 Driving Park Ave
Newark
NY 14513-1090
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 5853551740
Mailing Telephone 3153592123
Mailing Fax Number 3153592167
Enumeration Date 2015-01-21
Last Update Date 2020-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
339318 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1415 Portland Ave Ste 240, Rochester, NY 146213022 5859224188 5859223261
1425 Portland Ave, Rochester, NY 146213011 5859225067 5859222908
2 Coulter Rd, Clifton Springs, NY 144321122 3154629561 3154622638

Office Location

Street Address 1200 DRIVING PARK AVE
City NEWARK
State NY
Zip Code 14513-1090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396741898 Lawrence N. Chessin Internal Medicine 1200 Driving Park Ave, Newark, NY 14513-1057 2005-06-21
1477162725 Aidan Sullivan Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-23
1649898834 Nicholas D Biermann Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-14
1780222604 Erin Hart Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1861030785 Lauren Conaty Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1255978540 Andrea Lorene Ide Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-05
1326682618 Thomas William Jackson Mspt Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-10-30
1578113189 Natalie A Davidson Nurse Practitioner 1200 Driving Park Ave, Newark, NY 14513 2019-09-16
1164076659 Meritt F Rogers Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-08-01
1992366744 Allison Marie Triou Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215648 Susan Marie Oberdorf Speech-Language Pathologist 133 Elmwood, Newark, NY 14513 2020-05-04
1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1689192817 Melanie Swarthout Case Manager/Care Coordinator 150 Van Buren St., Newark, NY 14513 2017-09-08
1942650882 Donna Joy Collins I Speech-Language Pathologist 848 Pierson Avenue, Newark, NY 14513 2016-06-21
1972952661 Cj-mak Transportation, Inc. Non-emergency Medical Transport (VAN) 227 State Farm Road, Newark, NY 14513 2016-06-03
1306214473 Stephanie Belli Licensed Practical Nurse 5904 Austin Road, Newark, NY 14513 2015-09-08
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1861802373 Jeffrey Spencer Urology 1202 Driving Park Ave Ste 5, Newark, NY 14513 2014-05-06
1609126648 Natasha Triplett Student in an Organized Health Care Education/Training Program 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 2012-09-18
1922377902 Lisa E. Williams Licensed Practical Nurse 701 Peirson Ave., Newark, NY 14513 2011-12-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326647892 Katlyn Brewington Nurse Practitioner 1233b Churchmans Rd, Newark, DE 19713-2149 2020-10-25
1851990600 Brandy Baker Nurse Practitioner 494 Yorkshire Dr, Newark, OH 43055-1522 2020-10-22
1508464397 Abimbola Otufale Nurse Practitioner 252b Camden St, Newark, NJ 07103-2434 2020-10-13
1033755608 Christine Nophut Nurse Practitioner 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 2019-11-19
1215578091 Lucy Ogechi Efobi Nurse Practitioner 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 2019-10-03
1518518323 Jasmine Barksdale Nurse Practitioner 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 2019-09-23
1467013136 Getrude Tate Nguatem Nurse Practitioner Churchman Vlg, Newark, DE 19713-2068 2019-06-24
1285298679 Olufolake Remi Adepoju Nurse Practitioner 258 Chapman Rd, Newark, DE 19702-5445 2019-05-01
1285100420 Vida Araba Paintsil Nurse Practitioner University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 2018-10-15
1992291280 Palak Praful Desai Nurse Practitioner 1 Chestnut Hill Plz, Newark, DE 19713-2701 2018-07-10
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Competitor

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City NEWARK
Zip Code 14513

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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