| Dr Mitchell W Ehrlich, MD | |
|
1055 Portion Rd, Suite 124, Farmingville, NY 11738-2299 | |
| (631) 736-4321 | |
| (631) 736-4370 |
| Full Name | Dr Mitchell W Ehrlich |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1055 Portion Rd, Farmingville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669510913 | NPI | - | NPPES |
| 01023707 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 155061 (New York) | Primary |
| Entity Name | Sayville Medical And Rehab Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134659386 PECOS PAC ID: 7113280652 Enrollment ID: O20180413001426 |
| Entity Name | Setauket Medical & Rehabilitation Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811509409 PECOS PAC ID: 4880004654 Enrollment ID: O20201105002034 |
| Entity Name | Riverhead Medical & Rehabilitation Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912519455 PECOS PAC ID: 8022421379 Enrollment ID: O20210106002016 |
| Entity Name | Westhampton Medical & Rehabilitation Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013529551 PECOS PAC ID: 2163835315 Enrollment ID: O20210106002338 |
| Entity Name | Mwe Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730983008 PECOS PAC ID: 5991220048 Enrollment ID: O20250422000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitchell W Ehrlich, MD 939 Gerry Ave, Lido Beach, NY 11561-5216 Ph: (631) 736-4321 | Dr Mitchell W Ehrlich, MD 1055 Portion Rd, Suite 124, Farmingville, NY 11738-2299 Ph: (631) 736-4321 |