Basic Information
| Provider Information | |||||||||
| NPI: | 1235421835 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EHRICK | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | JEAN | ||||||||
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| Credential: | C.N.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2601 OCEAN PKWY | ||||||||
| Address2: | OB/GYN 8N53 | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112357745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186163257 | ||||||||
| FaxNumber: | 7186163260 | ||||||||
| Practice Location | |||||||||
| Address1: | 2601 OCEAN PKWY | ||||||||
| Address2: | OB/GYN 8N53 | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112357745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186163257 | ||||||||
| FaxNumber: | 7186163260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2011 | ||||||||
| LastUpdateDate: | 05/14/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | F000516 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.