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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619082625 NPPES
New York MEDICAID 02148396

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