Individual
EZRA DWECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13303 JAMAICA AVE, JAMAICA, NY 11418-2618
(718) 657-7093
Mailing address
13303 JAMAICA AVE, JAMAICA, NY 11418-2618
(718) 657-7093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
305787
NY
Other
Enumeration date
06/29/2017
Last updated
11/13/2023
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