SVETLANA ILYASOVA

Physician Assistant

Active Individual
NPI: 1467782672

Practice Address

6360 98TH ST APT D16
Rego Park, NY 11374

Phone: (646) 286-8952

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 013789 (NY)

Frequently Asked Questions

NPI 1467782672 is the National Provider Identifier for SVETLANA ILYASOVA, a Physician Assistant provider located in Rego Park, NY. This NPI was enumerated on January 11, 2010.
SVETLANA ILYASOVA practices at 6360 98TH ST APT D16, Rego Park, NY 11374.

Quick Facts

NPI
1467782672
Type
Individual
Enumerated
Jan 11, 2010
Last Updated
Oct 30, 2024

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