Ezra, Neal J

Ezra, Neal J is an individual health care provider with primary practice located at 1229 Broadway Suite 207, Hewlett NY 11557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Ezra, Neal J can be contacted via phone (516) 374-2215.

Contact Information

Primary practice address
1229 Broadway Suite 207 Hewlett NY 11557
Phone: (516) 374-2215
Fax: (516) 374-9046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 040873 New York

Profile Details

NPI number 1316168453
LBN Legal business name Ezra, Neal J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316168453 NPPES
New York MEDICAID 01406275

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