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Organization
REFUA SHLEMA MEDICAL PC
Active
Organization
REFUA SHLEMA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL I ILYAYEV MD (DR)
(347) 614-1717
Entity
Organization
Contact information
Practice address
499 CROWN ST, BROOKLYN, NY 11213-5126
(347) 614-1717
Mailing address
499 CROWN ST, BROOKLYN, NY 11213-5126
(347) 614-1717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60 245643
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02909539
—
NY
Enumeration date
01/28/2008
Last updated
04/06/2009
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