| NPI | 1326768862 |
|---|---|
| Doing Business As | EZRA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLEN L LICHTENSTEIN Authorized Official 718-686-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |