# DR LEVIN GOLDMANN EZRA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427216472
- **Authorized official:** MRS. ELIZABETH M ANDREWS (RECEPTIONIST)
- **Authorized official phone:** (718) 327-6592

## Contact information

- **Practice address:** 1229 BROADWAY, SUITE 207, HEWLETT, NY 11557
- **Practice address phone:** (516) 374-2215
- **Practice address fax:** (516) 374-0340
- **Mailing address:** 1301 CORNAGA AVE, FAR ROCKAWAY, NY 11691
- **Mailing address phone:** (718) 327-6592
- **Mailing address fax:** (718) 327-2206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 040873 | NY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 26221 | NY | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00281970 | — | NY |
| 05 | — | 01406275 | — | NY |