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L'REFUAH MEDICAL AND REHABILITATION CENTER NPI 1578800025


NPI Information

NPI: 1578800025
Provider Name: L'REFUAH MEDICAL AND REHABILITATION CENTER

Doing Business As: EZRA MEDICAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 33D0146398

Address:
1312 38TH ST
BROOKLYN, NY
ZIP 11218
Phone: (718) 686-7600
Get Directions

L'REFUAH MEDICAL AND REHABILITATION CENTER is a general practice dentist in Brooklyn, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. L'REFUAH MEDICAL AND REHABILITATION CENTER NPI is 1578800025. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ezra Medical Center.

The provider's business location address is:

1312 38TH ST
BROOKLYN, NY
ZIP 11218-612
Phone: (718) 686-7600
Fax: (718) 686-2097

The provider's authorized official is Allen Lichtenstein .
The authorized official title is Chief Operations Officer and has the following contact phone number (718) 686-7600.

The CLIA number assigned to this NPI record is 33D0146398 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/3/2013 and was last updated on 1/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryNo
2124Q00000XDental HygienistNo
3152W00000XOptometristNo
4152WV0400XOptometristVision TherapyNo
5163W00000XRegistered NurseNo
6213E00000XPodiatristNo
7363A00000XPhysician AssistantNo
8390200000XStudent in an Organized Health Care Education/Training ProgramNo
91223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133-1052OTHERNEW YORKMEDICARE CMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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