Ruby Ezra A-GNP

NPI # 

Practice Address:

163 Stuyvesant Dr

Port Jefferson Station, NY, 11776-4251

Practice Phone:

631-342-7514

License Number:

569398-1

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Registered Nurse

Taxonomy Code:

163W00000X