Provider Demographics
NPI:1750488417
Name:EHRLICH, JOSH C (DPM)
Entity Type:Individual
Prefix:
First Name:JOSH
Middle Name:C
Last Name:EHRLICH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1720
Mailing Address - Country:US
Mailing Address - Phone:516-295-4898
Mailing Address - Fax:718-436-1267
Practice Address - Street 1:1535 51ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3738
Practice Address - Country:US
Practice Address - Phone:718-436-8886
Practice Address - Fax:718-436-1267
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN00407701213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00969104Medicaid
NYBK0107701OtherAMERICHOICE
NY14404Medicare PIN
480015358Medicare PIN
NYP43102Medicare PIN