Organization
EZ ORTHODONTICS PLLC
Active
Other names
EZ ORTHO, Downtown Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT ZHARNITSKY DDS (OWNER)
(516) 659-9238
Entity
Organization
Contact information
Practice address
4010 82ND ST FL 2, ELMHURST, NY 11373-1305
(516) 659-9238
Mailing address
4010 82ND ST FL 2, ELMHURST, NY 11373-1305
(516) 659-9238
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05298215
—
NY
01
—
059767
STATE LICENSE
NY
01
—
1861988123
NPI
NY
Enumeration date
10/28/2020
Last updated
10/28/2020
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