Individual
ALEXANDER G. EZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 BROAD ST, SUITE 2005, NEW YORK, NY 10004-2304
(212) 792-9292
Mailing address
30 BROAD ST, SUITE 2005, NEW YORK, NY 10004-2304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012795-1
NY
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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