Organization
PERFORMANCE MEDICAL AND REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL EHRLICH MD (PRESIDENT)
(631) 849-6363
Entity
Organization
Contact information
Practice address
77A ROUTE 25A, ROCKY POINT, NY 11778-8881
(631) 849-6363
(631) 849-6361
Mailing address
77A ROUTE 25A, ROCKY POINT, NY 11778-8881
(631) 849-6363
(631) 849-6361
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60 155061
NY
Other
Enumeration date
10/27/2014
Last updated
03/21/2016
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