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Samantha Ezrin

NPI 1215382130 · on the registry since 2016 · sole proprietor

Practice

Address
140 Old Country Rd
Apt 118
Mineola, NY 11501
Phone
(516) 220-8985
Clinicians at this address
3

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York