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Individual

KATHERINE ILYAYEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
7051 AUSTIN ST, FOREST HILLS, NY 11375-4729
(718) 793-1200
Mailing address
7001 113TH ST APT 6J, FOREST HILLS, NY 11375-4628
(347) 249-0100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009672
NY

Other

Enumeration date
09/28/2022
Last updated
01/16/2023
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