Individual
LILIYA DYAKIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 CORACI BLVD STE 2, SHIRLEY, NY 11967-4833
(631) 395-9090
(631) 395-9100
Mailing address
2 CORACI BLVD STE 2, SHIRLEY, NY 11967-4833
(631) 395-9090
(631) 395-9100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
049151-01
NY
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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