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NPI Code Detail

MEDICARE: DR. IRINA ROIZIN D.D.S

MEDICARE:  DR. IRINA  ROIZIN  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21223P0221XPediatric Dentistry058983NY

General Provider Information

NPI Number : 1013336502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRINA ROIZIN D.D.S
Provider Business Mailing Address
First Line : 131 NORFOLK ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2305
Country : US
Telephone Number : 646-533-8033
Fax Number :
Provider Business Practice Location Address
First Line : 2281 82ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-2603
Country : US
Telephone Number : 646-533-8033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 06/25/2020

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Directions to “ DR. IRINA ROIZIN D.D.S” Practice Location

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