SearchNew York207R00000X

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 Pc
Inferred 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