Individual ProviderDarie EhrlichNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453(718) 299-7295(718) 618-0401PECOS EnrollmentBased on the most recent information from CMS, provider Darie Ehrlich is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1821079740Provider TypeIndividualFull NameEhrlich, DarieTitleDr.CredentialDNPGenderFemaleSole ProprietorYesEnumeration Date11/8/2005Last Updated11/20/2018Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453Phone(718) 299-7295FaxUnlisted FaxMailing LocationMailing Address3198 Grand Concourse, Bronx, NY 10458-1000Phone(718) 618-0401FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF340474New YorkCode363LA2200XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF303297New YorkProvider IdentifiersIDDescriptionIssuerIDF303297DescriptionOtherIssuerLICENSENew York