Ilyayeva, Stella
Ilyayeva, Stella is an sole proprietor health care provider with primary practice located at 9725 63Rd Dr , Rego Park NY 11374-2229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Ilyayeva, Stella can be contacted via phone (718) 275-2900.Contact Information
Primary practice address
9725 63Rd Dr
Rego Park NY 11374-2229
Phone: (718) 275-2900
Fax: (718) 275-2944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 211824 | New York |
Profile Details
| NPI number | 1619082625 |
|---|---|
| LBN Legal business name | Ilyayeva, Stella |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Mar 12th, 2024 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619082625 | NPPES |
| New York | MEDICAID | 02148396 |
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