Individual
STELLA ILYAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
211824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02148396
—
NY
Enumeration date
08/20/2006
Last updated
03/12/2024
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