Individual ProviderMatthew EhrlichStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address630 West 168th Street, Ph 8 East Room 105, New York, NY 10032(212) 305-5960PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Ehrlich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790364164Provider TypeIndividualFull NameEhrlich, MatthewCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/5/2021Last Updated6/6/2022Contact InformationPractice LocationPractice Address630 West 168th Street, Ph 8 East Room 105, New York, NY 10032Phone(212) 305-5960FaxUnlisted FaxMailing LocationMailing Address630 W 168th St Ph 8, New York, NY 10032-3725PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerNew York