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NPI Code Detail

MEDICARE: DR. ORRY EREZ M.D.

MEDICARE:  DR. ORRY  EREZ  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program4301087596MI
2207X00000XOrthopaedic Surgery Physician260345NY

General Provider Information

NPI Number : 1609085786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ORRY EREZ M.D.
Provider Business Mailing Address
First Line : 1610 LAKEVIEW DR
Second Line :
City : HEWLETT
State : NY
Zip : 11557-1818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 57TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4636
Country : US
Telephone Number : 718-283-8088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 03/13/2012

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Directions to “ DR. ORRY EREZ M.D.” Practice Location

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