| Ezra Family Services | |
|
3250 70th St Apt 2g East Elmhurst NY 11370-1712 | |
| (347) 668-7159 | |
| Not Available |
| Full Name | Ezra Family Services |
|---|---|
| Speciality | Counselor |
| Location | 3250 70th St Apt 2g, East Elmhurst, New York |
| Authorized Official Name and Position | Jasmine Gutierrez (OWNER) |
| Authorized Official Contact | 3476687159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezra Family Services 3250 70th St Apt 2g East Elmhurst NY 11370-1712 Ph: (347) 668-7159 | Ezra Family Services 3250 70th St Apt 2g East Elmhurst NY 11370-1712 Ph: (347) 668-7159 |
| NPI Number | 1902394216 |
|---|---|
| Provider Enumeration Date | 04/23/2018 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902394216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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