Individual
MRS. ILONNA YELIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1011
(212) 472-8024
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1011
(212) 472-8024
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2017
Last updated
03/13/2017
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