Individual
DR. IRA EHRLICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 W MERRICK RD, SUITE 103, VALLEY STREAM, NY 11580-5236
(516) 568-0310
Mailing address
509 W MERRICK RD, SUITE 103, VALLEY STREAM, NY 11580-5236
(516) 568-0310
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
034302
NY
Other
Enumeration date
07/11/2005
Last updated
07/08/2007
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