Individual
DR. BRIAN LEONARD ERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
77 N CENTRE AVE, STE 300, ROCKVILLE CENTRE, NY 11570-3923
(516) 764-5807
(516) 764-5808
Mailing address
77 N CENTRE AVE, STE 300, ROCKVILLE CENTRE, NY 11570-3923
(516) 764-5807
(516) 764-5808
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
222790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02552638
—
NY
01
—
P00166045
RAILROAD MEDICARE
NY
Enumeration date
05/24/2005
Last updated
04/14/2015
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