MEDICARE: JOSH C EHRLICH DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N00407701	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	BK0107701	OTHER	NY	AMERICHOICE

General Provider Information

NPI Number	:	1750488417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSH C EHRLICH DPM

Provider Business Mailing Address
First Line	:	260 LINWOOD AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-1720
Country	:	US
Telephone Number	:	516-295-4898
Fax Number	:	718-436-1267

Provider Business Practice Location Address
First Line	:	1535 51ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3738
Country	:	US
Telephone Number	:	718-436-8886
Fax Number	:	718-436-1267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	05/06/2008

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Directions to “ JOSH C EHRLICH DPM” Practice Location

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