Search › New York › 207R00000X
Stella Ilyaev, M.D
NPI 1912907742 · on the registry since 2005 · sole proprietor
Practice
- Address
- 5629 Metropolitan Ave
Ridgewood, NY 11385 - Phone
- (718) 418-0300
- Fax
- (718) 418-0301
- Organisation at this address
- Ny Empire Medical Pc
Mk Healthcare Medical Pc
Ridgewood Medical Diagnostic PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-18
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