PATRICK ERCOLINO NPI 1730634056

NPI Information

NPI: 1730634056
Provider Name: PATRICK ERCOLINO
Classification: Counselor - 101YS0200X
Entity Type: Individual

Specialization: School

Address:
405 N DATE ST
T OR C, NM
ZIP 87901
Phone: (575) 894-7459
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Patrick Ercolino is a school counselor in T Or C, NM. Patrick Ercolino NPI is 1730634056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

405 N DATE ST
T OR C, NM
ZIP 87901-377
Phone: (575) 894-7459

The enumeration date for this NPI number is 8/16/2016 and was last updated on 8/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School	268273	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	268273	OTHER	NEW MEXICO	STATE OF NEW MEXICO PED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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