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Jordan F. Ezring
Medical Physician Assistant in Hauppauge, New York
NPI 1659091585

Jordan F. Ezring is a Medical Physician Assistant based in Hauppauge, NY and is specialized in Medical. Jordan F. Ezring practices in Hauppauge, NY. The NPI Number for Jordan F. Ezring is 1659091585 and holds a License No. 028853 (New York).

The current practice location address for Jordan F. Ezring is 301 New Hwy, Hauppauge, NY and can be reached out via phone at 631-559-0551.

Location: 301 New Hwy, Hauppauge, NY, 11788-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659091585
Provider Name
Jordan F. Ezring
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 New Hwy, Hauppauge, NY, 11788-2016
Phone Number
631-559-0551
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 New Hwy
City
Hauppauge
State
New York
Zip
11788-2016
Phone Number
631-559-0551
Fax Number
person
Provider Business Mailing Address Details
Address
301 New Hwy
City
Hauppauge
State
New York
Zip
11788-2016
Phone Number
631-559-0551
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
028853 (New York)
Definition
Definition to come...
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