Organization
EZRA SHARON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA SHARON M.D (PHYSICIAN)
(718) 793-6832
Entity
Organization
Contact information
Practice address
70-31 108TH STREET, SUITE 3, FOREST HILLS, NY 11375
(718) 793-6832
(718) 793-6838
Mailing address
70-31 108TH STREET, SUITE 3, FOREST HILLS, NY 11375
(718) 793-6832
(718) 793-6838
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
107333
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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