Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Liorra Ezra

Individual provider Physician Assistant · NPI 1487027439

Liorra Ezra is a Physician Assistant in Brooklyn, New York. Qualified in 2015, 11 years ago. Practices with Maimonides Faculty Practice Plan, a 246-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (718) 283-8137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019356 (NY)

Record details

NPI number1487027439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 12, 2015
Last updated in NPPESNovember 6, 2018
Mailing address4802 10th Ave, Brooklyn, NY 11219-2916

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Maimonides Faculty Practice Plan — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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