Provider Demographics
NPI:1205010675
Name:EHRLICH, MILTON (OD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:
Last Name:EHRLICH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 FAIRVIEW AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1224
Mailing Address - Country:US
Mailing Address - Phone:518-822-8550
Mailing Address - Fax:
Practice Address - Street 1:350 FAIRVIEW AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1224
Practice Address - Country:US
Practice Address - Phone:518-822-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTOO2143-1152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management