Organization
E 55TH STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR ILYABAYEV DDS (OWNER/PARTNER)
(646) 741-4294
Entity
Organization
Contact information
Practice address
150 E 55TH ST FL 7, NEW YORK, NY 10022-4514
(646) 741-4294
(516) 887-0080
Mailing address
150 E 55TH ST FL 7, NEW YORK, NY 10022-4514
(646) 741-4294
(516) 887-0080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/04/2026
Last updated
08/05/2026
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