Yagudayev, Ilya
Yagudayev, Ilya is an individual health care provider with primary practice located at 6511 108Th St Office A, Forest Hills NY 11375-1854. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Yagudayev, Ilya can be contacted via phone (718) 997-1954.Contact Information
Primary practice address
6511 108Th St Office A
Forest Hills NY 11375-1854
Phone: (718) 997-1954
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 046209 | New York |
Profile Details
| NPI number | 1063402774 |
|---|---|
| LBN Legal business name | Yagudayev, Ilya |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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