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General NPI Number Information
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NPI Number | 1598057416
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Entity Type | Individual
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Provider Name | JOEL EHRENFELD MD, PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2361 NOSTRAND AVE STE 101
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City | BROOKLYN
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State | NY
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Zip | 11210-3952
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Country | US
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Telephone | 718-772-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 2361 NOSTRAND AVE STE 101
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City | BROOKLYN
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State | NY
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Zip | 11210-3952
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Country | US
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Telephone | 718-772-7778
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 311541
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 032827-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 311541
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License Number State | NY
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