Provider Demographics
NPI:1235965591
Name:SOTO, ERIK (MSW)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:SOTO
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-2082
Mailing Address - Country:US
Mailing Address - Phone:516-443-2352
Mailing Address - Fax:
Practice Address - Street 1:216 BERKSHIRE DR
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-2082
Practice Address - Country:US
Practice Address - Phone:516-443-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker