SearchNew York363LA2200X

Mikhail Iliatov, NP

NPI 1598694820 · on the registry since 2026 · sole proprietor

Practice

Address
6802 Ridge Blvd Apt 3b
Brooklyn, NY 11220
Phone
(347) 724-3435
Organisation at this address
Welfare Rehab Pt Pc
Commitment Care Pt.,Pc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-14

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