Igor Ilyabayev D.D.S., P.C.

LBN: Igor Ilyabayev D.D.S., P.C.
Igor Ilyabayev D.D.S., P.C. is an health care organization with primary practice located at 139 N Central Ave Ste 3 , Valley Stream NY 11580-3859. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Igor Ilyabayev D.D.S., P.C. can be contacted via phone (516) 887-0020, or through Ilyabayev, Igor via phone (516) 887-0020.

Contact Information

Primary practice address
139 N Central Ave Ste 3 Valley Stream NY 11580-3859
Fax:
Website:
Authorized official contact:
Name: Ilyabayev, Igor Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 052814 New York

Profile Details

NPI number 1093045361
LBN Legal business name Igor Ilyabayev D.D.S., P.C.
DBA Doing business as
Authorized official Ilyabayev, Igor Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2010
Last updated Jan 5th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093045361 NPPES
New York MEDICAID 03168361

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