Search › New York › 363LA2200X
Ruby Ezra, A-GNP
NPI 1699088898 · on the registry since 2010 · sole proprietor
Practice
- Address
- 163 Stuyvesant Dr
Port Jefferson Station, NY 11776 - Phone
- (631) 342-7514
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-02
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