Ilyayeva, Irina

Ilyayeva, Irina is an individual health care provider with primary practice located at 3703 92Nd St Fl 1 , Jackson Heights NY 11372-7929. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Ilyayeva, Irina can be contacted via phone (917) 832-6562.

Contact Information

Primary practice address
3703 92Nd St Fl 1 Jackson Heights NY 11372-7929
Fax: (646) 930-5556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 237803 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 237803 New York

Profile Details

NPI number 1558394312
LBN Legal business name Ilyayeva, Irina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 28th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1558394312 NPPES
New York MEDICAID 02710218

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