Individual
DR. MITCHELL W EHRLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 PORTION RD, SUITE 124, FARMINGVILLE, NY 11738-2299
(631) 736-4321
(631) 736-4370
Mailing address
939 GERRY AVE, LIDO BEACH, NY 11561-5216
(631) 736-4321
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
155061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01023707
—
NY
Enumeration date
02/01/2007
Last updated
09/06/2024
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