Individual provider · Type 1 NPI
Jordan F. Ezring
Medical Physician Assistant · Hauppauge, NY
NPI number
1659091585
Active
Practice location
301 New Hwy
Hauppauge, NY 11788-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 028853 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1659091585
Jordan F. Ezring's National Provider Identifier is 1659091585, issued on Aug 31, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hauppauge, NY. The record was last updated on Aug 31, 2022.