Most Relevant Information
Provider Data
| NPI Number: | 1003464660 |
| Provider Name: | NECHAMA DINA EZAGUI PA-S |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2019 |
| Last Updated: | 08/27/2019 |
Provider Practice Location
1227 PRESIDENT ST APT 2B
BROOKLYN
NY
112251665
Practice Location Phone/Fax
| Phone: | 3474133190 |
| Fax: |
Provider Mailing Location
1227 PRESIDENT ST APT 2B
BROOKLYN
NY
112251665
Provider Mailing Phone/Fax
| Phone: | 3474133190 |
| Fax: |