Basic Information
Provider Information
NPI: 1699193011
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EHRMANN
FirstName: BRETT
MiddleName: JARED
NamePrefix:  
NameSuffix:  
Credential: M.D., M.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 215 EAST 85TH ST
Address2: WEILL CORNELL MEDICAL ASSOCIATES
City: NEW YORK
State: NY
PostalCode: 10028
CountryCode: US
TelephoneNumber: 6469627300
FaxNumber: 6469620409
Practice Location
Address1: 215 EAST 85TH ST
Address2: WEILL CORNELL MEDICAL ASSOCIATES
City: NEW YORK
State: NY
PostalCode: 10028
CountryCode: US
TelephoneNumber: 6469627300
FaxNumber: 6469620409
Other Information
ProviderEnumerationDate: 04/02/2014
LastUpdateDate: 01/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X287940NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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