Individual provider · Type 1 NPI

Ezro Yadgarov

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

NPI number 1689265811 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2594

Call (718) 960-9000 Map

Mailing address

7925 150th St Apt D1
Flushing, NY 11367-3809

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X- (NY)
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 1689265811

Ezro Yadgarov's National Provider Identifier is 1689265811, issued on Jan 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jan 30, 2021.