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Individual

DR. ARI MARCEL EZRATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 PORT WASHINGTON BLVD, SUITE G03, ROSLYN, NY 11576-1353
(516) 365-6444
Mailing address
100 PORT WASHINGTON BLVD, SUITE G03, ROSLYN, NY 11576-1353
(516) 365-6444

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
167965
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113551705
TAX ID #
NY
Enumeration date
01/03/2006
Last updated
02/10/2011
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