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Contact Information

NEAL J EZRA
1229 BROADWAY
SUITE 207
HEWLETT, NY11557
 Phone: 516-374-2215
 Fax: 516-374-9046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NEAL J EZRA · (Male)

NPI # 1316168453
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 040873
  • NY Medicaid 01406275
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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