Svetlana Ilyasova
Svetlana Ilyasova is a Physician Assistant in Rego Park, New York. Licensed in New York. Registered with an NPI since 2010.
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
6360 98th St Apt D16Rego Park, NY 11374-2218
Phone: (646) 286-8952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 013789 (NY) |
|---|
Record details
| NPI number | 1467782672 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2010 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |
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