Ilyaev, Stella
Ilyaev, Stella is an sole proprietor health care provider with primary practice located at 5629 Metropolitan Ave , Ridgewood NY 11385-1975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ilyaev, Stella can be contacted via phone (718) 418-0300.Contact Information
Primary practice address
5629 Metropolitan Ave
Ridgewood NY 11385-1975
Phone: (718) 418-0300
Fax: (718) 418-0301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 225936 | New York |
Profile Details
| NPI number | 1912907742 |
|---|---|
| LBN Legal business name | Ilyaev, Stella |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Apr 18th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912907742 | NPPES |
| New York | Other | 225936-4W | WORKERS COMPENSATION |
| New York | MEDICAID | 02361360 | WORKERS COMPENSATION |
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