Individual
DR. MICHAEL P. EHRENHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21715 PECK AVE, QUEENS VILLAGE, NY 11427-1117
(718) 428-8400
(718) 425-0903
Mailing address
21715 PECK AVE, QUEENS VILLAGE, NY 11427-1117
(718) 428-8400
(718) 425-0903
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
219684-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02201150
—
NY
Enumeration date
11/29/2005
Last updated
03/12/2025
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