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

Individual provider Family Medicine Physician · NPI 1912231010

Nisreen J. Ezzi, MD is a Family Practice in Hicksville, New York. Qualified in 2000, 26 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

341 Jerusalem Ave
Hicksville, NY 11801-5549
Phone: (516) 595-7273
Fax: (516) 595-7275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 252519 (NY)

Record details

NPI number1912231010
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2009
Last updated in NPPESMarch 27, 2019
Mailing address341 Jerusalem Ave, Hicksville, NY 11801-5549

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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