Individual
JACQUELINE EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 BROADWAY, NEW YORK, NY 10007-2300
(212) 676-6140
Mailing address
253 BROADWAY, NEW YORK, NY 10007-2300
(212) 676-6140
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
198692
NY
Other
Enumeration date
10/18/2010
Last updated
10/19/2010
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