Individual
JORDAN F. EZRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 NEW HWY, HAUPPAUGE, NY 11788-2016
(631) 559-0551
Mailing address
301 NEW HWY, HAUPPAUGE, NY 11788-2016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
028853
NY
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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