# PERFORMANCE MEDICAL AND REHAB PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558766030
- **Authorized official:** DR. MITCHELL EHRLICH MD (PRESIDENT)
- **Authorized official phone:** (631) 849-6363

## Contact information

- **Practice address:** 77A ROUTE 25A, ROCKY POINT, NY 11778-8881
- **Practice address phone:** (631) 849-6363
- **Practice address fax:** (631) 849-6361
- **Mailing address:** 77A ROUTE 25A, ROCKY POINT, NY 11778-8881
- **Mailing address phone:** (631) 849-6363
- **Mailing address fax:** (631) 849-6361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 60 155061 | NY | Yes |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 03/21/2016