Provider Demographics
NPI:1477825115
Name:ERLICHMAN, DAVID BARUCH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BARUCH
Last Name:ERLICHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 EASTCHESTER RD
Mailing Address - Street 2:5A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2140
Mailing Address - Country:US
Mailing Address - Phone:917-232-6171
Mailing Address - Fax:
Practice Address - Street 1:16 GUION PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5502
Practice Address - Country:US
Practice Address - Phone:914-632-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program