Neal J Ezra

NPI 1316168453 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1316168453
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1229 BROADWAY
SUITE 207
HEWLETT NY, 11557, US
Phone (516) 374-2215
Fax (516) 374-9046
Business Location
1301 CORNAGA AVE
FAR ROCKAWAY NY, 11691, US
Phone (718) 327-6592
Fax (718) 471-9133
Toxanomy
Taxonomy Code 204E00000X
License State New York
License Number 040873
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According to our database, Neal J Ezra NPI is 1316168453, taxonomy code is 204E00000X and license number is 040873, license state is located at New York. Neal J Ezra physically located at 1229 Broadway, Hewlett NY, 11557. NPI Number Neal J Ezra has the Individual type.

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1316168453 NPI number is provided on an as is basis without warranty of any kind. 1316168453 is maintained by the National Plan & Provider Enumeration System. The contents of Neal J Ezra are for informational purposes only.