Individual
DR. ILYA PARIZH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
154 STATE ROUTE 10, EAST HANOVER, NJ 07936-2107
(973) 920-3090
Mailing address
25 SAVIN CT, STATEN ISLAND, NY 10304-4215
(646) 898-6734
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10504300
NJ
207P00000X
Emergency Medicine Physician
293705
NY
208D00000X
General Practice Physician
293705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0684686
—
NJ
Enumeration date
03/24/2015
Last updated
06/09/2023
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