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Michael Ilyasov
NPI 1477244564 · on the registry since 2023
Practice
- Address
- 823 W Jericho Tpke
Smithtown, NY 11787 - Phone
- (631) 543-0550
- Organisation at this address
- Linda Hyman, Lcsw, Pc
Vincent M. Mazurek, Dds, Pc
Sage Hill Counseling Psychotherapy Social Work Lcsw Pc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-06
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