Individual provider · Type 1 NPI
Irina Kanzafarova, MD
Student in an Organized Health Care Education/Training Program · Rochester, NY
NPI number
1003487406
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
60 Crittenden Blvd Apt 526
Rochester, NY 14620-4034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 31726 (MN) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1003487406
Irina Kanzafarova, MD's National Provider Identifier is 1003487406, issued on Jul 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Dec 6, 2023.