Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Ilyadzhanova

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720436876

Tamara Ilyadzhanova is a Student in an Organized Health Care Education/Training Program in Rego Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

6249 Alderton St
Rego Park, NY 11374-2817
Phone: (917) 704-6030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 027292 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720436876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2016
Last updated in NPPESFebruary 11, 2019
Mailing address6249 Alderton St, Rego Park, NY 11374-2817

Other providers in Rego Park