Individual
ILANNA AMINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 662-8808
Mailing address
9943 64TH RD, REGO PARK, NY 11374-2657
(718) 662-8808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062903-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
05/12/2026
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