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Provider Information for 1437282910



INNA GOYKMAN BARON DDS

Gender: FEMALE

Individual NPI: 1437282910

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1437282910
Enumeration Date 2007-03-13
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1706 CROPSEY AVE
BROOKLYN, NY 11214-5856
United States

Phone: 718-234-5858 | Fax: 718-234-5505
View Map External Link
Primary Practice Address 1706 CROPSEY AVE
BROOKLYN, NY 11214-5856
United States

Phone: 718-234-5858 | Fax: 718-234-5505
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NY 01491749
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 045210