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NPI Code Detail

MEDICARE: DR. EZRA MEIR DORI M.D.

MEDICARE:  DR. EZRA MEIR DORI  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
1207V00000XObstetrics & Gynecology Physician202826NY

General Provider Information

NPI Number : 1831273499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EZRA MEIR DORI M.D.
Provider Business Mailing Address
First Line : 5724 NEW UTRECHT AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219
Country : US
Telephone Number : 718-436-0100
Fax Number : 718-436-1563
Provider Business Practice Location Address
First Line : 5724 NEW UTRECHT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4633
Country : US
Telephone Number : 718-436-0100
Fax Number : 718-436-1563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 09/28/2009

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