Individual
DR. LUBA ILYAICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, PHARMD, CGP
Contact information
Practice address
3000 OCEAN PKWY, SUITE 21G, BROOKLYN, NY 11235-8367
(718) 930-5442
(718) 758-5770
Mailing address
3000 OCEAN PKWY, SUITE 21G, BROOKLYN, NY 11235-8367
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
043434
NY
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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