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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912907742 NPPES
New York Other 225936-4W WORKERS COMPENSATION
New York MEDICAID 02361360 WORKERS COMPENSATION

Popular Providers