Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ericka J Ennis

Individual provider Peer Specialist · NPI 1679311641

Ericka J Ennis is a Peer Specialist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

1623 Flatbush Ave
Brooklyn, NY 11210-3262
Phone: (718) 377-5755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 5180 (NY)

Record details

NPI number1679311641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 15, 2024
Mailing address1623 Flatbush Ave # 1623, Brooklyn, NY 11210-3262

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