Neal J Ezra
Oral & Maxillofacial Surgeon
1229 Broadway Suite 207
Hewlett
, New York 11557
Neal J Ezra
Oral & Maxillofacial Surgeon
1229 Broadway Suite 207
Hewlett
, New York 11557
(718) 471-9133
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Neal J Ezra
- 1301 Cornaga Ave
- Far Rockaway, NY
- Zip : 11691
- Fax : (718) 471-9133
- Phone : (718) 327-6592
Second Address
- Neal J Ezra
- 1229 Broadway Suite 207
- Hewlett, NY
- Zip : 11557
- Fax : (516) 374-9046
- Phone : (516) 374-2215
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 040873 | NY |
National Provider Identifier
| NPI | 1316168453 |
|---|---|
| Provider Name | Neal J Ezra |
| First Address | Far Rockaway, NY 11691 |
| Second Address | Hewlett, NY 11557 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01406275 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.