Ilyayev, Emmanuil

Ilyayev, Emmanuil is an individual health care provider with primary practice located at 9819 64Th Ave 4G, Rego Park NY 11374-2542. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Ilyayev, Emmanuil can be contacted via phone (718) 578-8612.

Contact Information

Primary practice address
9819 64Th Ave 4G Rego Park NY 11374-2542
Phone: (718) 578-8612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 11338 Connecticut
Dental Providers / General Practice 1223G0001X 058141 New York

Profile Details

NPI number 1679766646
LBN Legal business name Ilyayev, Emmanuil
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Mar 7th, 2016 - about 8 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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