Individual
EDWARD EZRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 KINGS HIGHWAY, B9, BROOKLYN, NY 11234
(718) 338-0333
(718) 252-0499
Mailing address
3131 KINGS HIGHWAY, B9, BROOKLYN, NY 11234
(718) 338-0333
(718) 252-0499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
146722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00860462
—
NY
01
—
112827383
TAX ID
NY
Enumeration date
10/02/2006
Last updated
09/27/2012
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