Ezer, Gay Elana
Ezer, Gay Elana is an individual health care provider with primary practice located at 154 Commack Rd , Commack NY 11725-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ezer, Gay Elana can be contacted via phone (631) 499-8282.Contact Information
Primary practice address
154 Commack Rd
Commack NY 11725-3457
Phone: (631) 499-8282
Fax: (631) 462-5462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 213011 | New York |
Profile Details
| NPI number | 1720157548 |
|---|---|
| LBN Legal business name | Ezer, Gay Elana |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jan 4th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720157548 | NPPES |
| Other | P1878327 | OXFORD | |
| MEDICAID | 02082873 | OXFORD | |
| Other | 457X01 | OXFORD |
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