Individual
EZRA R DAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1512, NEW YORK, NY 10029-6504
(212) 241-6934
Mailing address
1 GUSTAVE L LEVY PL # 1512, NEW YORK, NY 10029-6504
(212) 241-6934
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10996900
NJ
Other
Enumeration date
03/22/2018
Last updated
04/26/2024
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