Ilyagu Medical Pc

LBN: Ilyagu Medical Pc
Ilyagu Medical Pc is an health care organization with primary practice located at Mark Ilyagu Medical Pc 811 Southern Blvd, Bronx NY 10459. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Ilyagu Medical Pc can be contacted via phone (717) 716-7107, or through Ilyagu, Mark via phone (717) 716-7107.

Contact Information

Primary practice address
Mark Ilyagu Medical Pc 811 Southern Blvd Bronx NY 10459
Phone: (717) 716-7107
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ilyagu, Mark Doctor of Medicine (MD)
Phone: (717) 716-7107

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1326719733
LBN Legal business name Ilyagu Medical Pc
DBA Doing business as
Authorized official Ilyagu, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2021
Last updated May 20th, 2024 - about 6 months 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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