Provider Demographics
NPI:1356630339
Name:EHRLICH, DEBRA JUDI (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:JUDI
Last Name:EHRLICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:1ST FLOOR, BOX 1637
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-241-5607
Mailing Address - Fax:212-241-2199
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:1ST FLOOR, BOX 1637
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-5607
Practice Address - Fax:212-241-2199
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY278440-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology