Individual provider · Type 1 NPI

Inessa Safarov, DMD

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

NPI number 1811230576 Active

Practice location

Hospital Dentistry, Westchester Hall, Room 151
Stony Brook, NY 11794-8711

Call (631) 444-2557 Map

Mailing address

2901 Ocean Ave
Brooklyn, NY 11235-3201

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 1811230576

Inessa Safarov, DMD's National Provider Identifier is 1811230576, issued on Apr 1, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 11, 2016.