MEDICARE: EZRA SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1902394216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZRA SERVICES INC.

Provider Business Mailing Address
First Line	:	153 E 110TH ST UNIT 143
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-9602
Country	:	US
Telephone Number	:	929-900-6145
Fax Number	:

Provider Business Practice Location Address
First Line	:	153 E 110TH ST UNIT 143
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-9602
Country	:	US
Telephone Number	:	929-900-6145
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JASMINE GUTIERREZ
Credential	:
Telephone Number	:	347-668-7159

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	12/10/2025

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Directions to “EZRA SERVICES INC. ” Practice Location

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