# RIVERHEAD MEDICAL & REHABILITATION PC

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

## Provider details

- **NPI number:** 1912519455
- **Authorized official:** MITCHELL EHRLICH MD (PRESIDENT)
- **Authorized official phone:** (631) 239-8262

## Contact information

- **Practice address:** 4160 MERRICK RD STE 3, MASSAPEQUA, NY 11758-6027
- **Practice address phone:** (631) 255-3110
- **Mailing address:** 939 GERRY AVE, LIDO BEACH, NY 11561-5216
- **Mailing address phone:** (631) 255-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2020
- **Last updated:** 03/31/2025