Organization
EZ ORTHODONTICS PLLC
Active
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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