Sim Ezratty | Port Washington, NY • PECOS Search

Sim Ezratty

Social Worker

Behavioral Health & Social Service Providers

26 Salem Ln, Port Washington, NY 11050-4334

PECOS Enrollment

Based on the most recent information from CMS, provider Sim Ezratty does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194026369
Provider Type
Individual
Full Name
Ezratty, Sim
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/4/2010
Last Updated
11/4/2010

Contact Information

Practice Location

26 Salem Ln, Port Washington, NY 11050-4334

Unlisted Fax

Mailing Location

26 Salem Ln, Port Washington, NY 11050-4334

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 038385-1 New York