Organization
ILYAYEVA IRINA PEDIATRICS PC
Active
Other names
Jackson Heights Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA ILYAYEVA MD (PEDIATRICIAN)
(917) 595-9046
Entity
Organization
Contact information
Practice address
3703 92ND ST FL 1, JACKSON HEIGHTS, NY 11372-7929
(917) 832-6562
Mailing address
6391 ALDERTON ST, REGO PARK, NY 11374-3941
(917) 595-9046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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