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

Katherine Ericson, MD

Individual provider Pediatrics Physician · NPI 1366973224

Katherine Ericson, MD is a Pediatrics Physician in Bronx, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4507 3rd Ave
Bronx, NY 10457-1515
Phone: (718) 960-9196
Fax: (718) 960-9138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 220 W 98th St Apt 8e, New York, NY 10025-5674 — (832) 228-2369

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 304259 (NY)

Record details

NPI number1366973224
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESMay 16, 2022
Certification dateJanuary 5, 2021
Mailing address4507 3rd Ave, Bronx, NY 10457-1515

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