Individual
DR. ILYA NOGINSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1869
(860) 928-6541
Mailing address
2524 AVENUE Y, BROOKLYN, NY 11235-2423
(718) 780-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA11798600
NJ
207R00000X
Internal Medicine Physician
13005727-1205
UT
207R00000X
Internal Medicine Physician
Primary
17699C
WY
207R00000X
Internal Medicine Physician
71669
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
04/19/2026
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