SearchNew York101Y00000X

Diana Ilyasova

NPI 1700297736 · on the registry since 2014

Practice

Address
79-25 150th St
Apt. B11
Flushing, NY 11367
Phone
(347) 593-6089

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-13

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