Individual
DR. ALBERT ILYAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6574 SAUNDERS ST APT 3E, REGO PARK, NY 11374-4240
(646) 637-6997
Mailing address
7050 AUSTIN ST STE LL124A, FOREST HILLS, NY 11375-4774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056803
NY
Other
Enumeration date
08/04/2013
Last updated
06/30/2014
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