Ilyayev, Eitan

Ilyayev, Eitan is an sole proprietor health care provider with primary practice located at 9819 64Th Ave Apt 4G , Rego Park NY 11374-2526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ilyayev, Eitan can be contacted via phone (718) 483-2731.

Contact Information

Primary practice address
9819 64Th Ave Apt 4G Rego Park NY 11374-2526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 017825 New York

Profile Details

NPI number 1609285329
LBN Legal business name Ilyayev, Eitan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2014
Last updated Aug 11th, 2014 - about 10 years 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.

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