Ilyusha, Stanislav V

Ilyusha, Stanislav V is an sole proprietor health care provider with primary practice located at 1612 Sheepshead Bay Rd , Brooklyn NY 11235-3803. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Ilyusha, Stanislav V can be contacted via phone (718) 934-1123.

Contact Information

Primary practice address
1612 Sheepshead Bay Rd Brooklyn NY 11235-3803
Phone: (718) 934-1123
Fax: (718) 934-2366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X VUT006443 New York

Profile Details

NPI number 1750334264
LBN Legal business name Ilyusha, Stanislav V
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Mar 16th, 2024 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750334264 NPPES
New York MEDICAID 02218697

Popular Providers