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Organization
ATLANTIC ENDOCRINOLOGY AND DIABETES PC
Active
Organization
ATLANTIC ENDOCRINOLOGY AND DIABETES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA ILYAYEVA MD (MD)
(718) 275-2900
Entity
Organization
Contact information
Practice address
9725 63RD DR, REGO PARK, NY 11374-2229
(718) 275-2900
(718) 275-2944
Mailing address
9725 63RD DR, REGO PARK, NY 11374-2229
(718) 275-2900
(718) 275-2944
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
2084N0400X
Neurology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02148396
—
NY
05
—
03436793
—
NY
Enumeration date
06/08/2007
Last updated
02/18/2026
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