Individual
DR. EZRA KASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1249 PARK AVE, APT 2A, NEW YORK, NY 10029-7219
(917) 597-3315
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
245068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03236940
—
NY
Enumeration date
05/29/2008
Last updated
03/05/2015
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