| Ez Orthodontics Pllc | |
|
4010 82nd St Fl 2 Elmhurst NY 11373-1305 | |
| (516) 659-9238 | |
| Not Available |
| Full Name | Ez Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4010 82nd St Fl 2, Elmhurst, New York |
| Authorized Official Name and Position | Elliot Zharnitsky (OWNER) |
| Authorized Official Contact | 5166599238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Orthodontics Pllc 4010 82nd St Fl 2 Elmhurst NY 11373-1305 Ph: (516) 659-9238 | Ez Orthodontics Pllc 4010 82nd St Fl 2 Elmhurst NY 11373-1305 Ph: (516) 659-9238 |
| NPI Number | 1891395810 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891395810 | NPI | - | NPPES |
| 05298215 | Medicaid | NY | |
| 059767 | Other | NY | STATE LICENSE |
| 1861988123 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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