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Ezra Deutsch, MD
Specialist in Smithtown, New York
NPI 1356349716

Ezra Deutsch is a Specialist based in Smithtown, NY. Ezra Deutsch practices in Smithtown, NY and has the professional credentials of MD. The NPI Number for Ezra Deutsch is 1356349716 and holds a License No. 155796-1 (New York).

The current practice location address for Ezra Deutsch is 260 Middle Country Rd, Smithtown, NY and can be reached out via phone at 631-265-5050 and via fax at 631-265-3304.

Location: 260 Middle Country Rd, Smithtown, NY, 11787-2982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356349716
Provider Name
Ezra Deutsch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
260 Middle Country Rd, Smithtown, NY, 11787-2982
Phone Number
631-265-5050
Fax Number
631-265-3304
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01755086 05 NY
institution
Provider Business Practice Location Address Details
Address
260 Middle Country Rd
City
Smithtown
State
New York
Zip
11787-2982
Phone Number
631-265-5050
Fax Number
631-265-3304
person
Provider Business Mailing Address Details
Address
260 Middle Country Rd
City
Smithtown
State
New York
Zip
11787-2982
Phone Number
631-265-5050
Fax Number
631-265-3304
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
155796-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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