Individual
ILIA ILIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION, BROOKLYN, NY 11201-5425
(718) 250-6604
Mailing address
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION, BROOKLYN, NY 11201-5425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA10861400
NJ
207P00000X
Emergency Medicine Physician
Primary
293543
NY
207P00000X
Emergency Medicine Physician
35.138937
OH
207P00000X
Emergency Medicine Physician
MD471102
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
09/17/2021
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