Individual
BENEDIKT ILYAGUYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE GUSTAVE L. LEVY PLACE, FLOOR 12, 1620, NEW YORK, NY 10029
(847) 338-6323
Mailing address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(718) 571-2901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
309818
NY
207P00000X
Emergency Medicine Physician
Primary
309818-01
NY
Other
Enumeration date
04/11/2018
Last updated
10/01/2021
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