Individual
GHIDEON EZAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST FL 12, NEW YORK, NY 10029
(212) 241-8035
Mailing address
1 GUSTAVE L LEVY PLACE, P O BOX 1104, NEW YORK, NY 10029-0311
(212) 241-8035
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
300386
NY
Other
Enumeration date
04/04/2011
Last updated
11/19/2019
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