Provider Demographics
NPI:1972355311
Name:DR INNA GOYKMA AMIR DDS PC
Entity Type:Organization
Organization Name:DR INNA GOYKMA AMIR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOYKMAN AMIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-513-5103
Mailing Address - Street 1:2952 BRIGHTON 3RD ST STE 501
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7079
Mailing Address - Country:US
Mailing Address - Phone:718-234-5858
Mailing Address - Fax:718-513-3456
Practice Address - Street 1:2952 BRIGHTON 3RD ST STE 501
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7079
Practice Address - Country:US
Practice Address - Phone:718-234-5858
Practice Address - Fax:718-513-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty