Individual provider · Type 1 NPI

Ezra Jonathan Shoen, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1215529458 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215529458

Ezra Jonathan Shoen, MD's National Provider Identifier is 1215529458, issued on Feb 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 4, 2021.