SearchNew York152W00000X

Inna Ilyasova

NPI 1225708944 · on the registry since 2021

Practice

Address
731 Lydig Ave
Bronx, NY 10462
Phone
(718) 829-2160
Organisation at this address
Pelham Parkway Vision Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 680 Broadway, New York, NY

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York