Ehrlich, Mitchell W

Ehrlich, Mitchell W is an sole proprietor health care provider with primary practice located at 1055 Portion Rd Suite 124, Farmingville NY 11738-2299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Ehrlich, Mitchell W can be contacted via phone (631) 736-4321.

Contact Information

Primary practice address
1055 Portion Rd Suite 124 Farmingville NY 11738-2299
Phone: (631) 736-4321
Fax: (631) 736-4370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 155061 New York

Profile Details

NPI number 1669510913
LBN Legal business name Ehrlich, Mitchell W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Apr 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669510913 NPPES
New York MEDICAID 01023707

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