Individual
EZRA H FEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 NORTH STATION PL, ST 205, GREAT NECK, NY 11021
(516) 466-4171
(516) 466-3684
Mailing address
PO BOX 231050, GREAT NECK, NY 11023
(516) 466-4171
(516) 466-3684
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00461385
—
NY
Enumeration date
12/04/2006
Last updated
07/08/2007
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