Individual provider · Type 1 NPI

Evelina Zektser, DDS

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

NPI number 1124607890 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

112 Admiralty Loop
Staten Island, NY 10309-3962

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X244202 (NY)

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 1124607890

Evelina Zektser, DDS's National Provider Identifier is 1124607890, issued on Apr 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 7, 2021.