Individual provider · Type 1 NPI

Holly Jafarzade, DDS

Student in an Organized Health Care Education/Training Program · Queensbury, NY

NPI number 1093192254 Active

Practice location

333 Aviation Rd Bldg A
Queensbury, NY 12804-2915

Fax (585) 273-1233

Mailing address

333 Aviation Road, Building A
Queensbury, NY 12804

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1093192254

Holly Jafarzade, DDS's National Provider Identifier is 1093192254, issued on Apr 27, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Queensbury, NY. The record was last updated on Jul 21, 2022.