Individual
DR. BORIS ILYAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9304 ASTORIA BLVD, EAST ELMHURST, NY 11369-1533
(718) 426-3455
Mailing address
9304 ASTORIA BLVD, EAST ELMHURST, NY 11369-1533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
056105
NY
Other
Enumeration date
08/21/2011
Last updated
08/21/2011
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