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General NPI Number Information
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NPI Number | 1427388206
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Entity Type | Organization
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Legal Business Name | MICHAEL P EHRENHAUS, MD, PC
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 21715 PECK AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1117
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Country | US
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Telephone | 718-428-8400
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Fax | 718-425-0903
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Provider Business Mailing Address
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Address Line | 4402 FRANCIS LEWIS BLVD SUITE 2B
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City | BAYSIDE
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State | NY
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Zip | 11361-3041
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Country | US
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Telephone | 718-425-0903
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL EHRENHAUS
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Credential | M.D.
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Telephone | 718-428-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 219684
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License Number State | NY
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