Individual
MRS. LORA EZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4008
(718) 391-8300
Mailing address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4008
(718) 391-8300
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
474887-1
NY
Other
Enumeration date
02/07/2016
Last updated
02/08/2016
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