Individual
JULIA ILYAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3333 NEW HYDE PARK RD STE 100101, NEW HYDE PARK, NY 11042-1204
(516) 663-6400
(516) 307-8840
Mailing address
PO BOX 310, PLAINVIEW, NY 11803-0310
(516) 663-6400
(516) 307-8840
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311017
NY
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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