|Active||Over 8 years ago|
|714 BEACH 20TH ST
FAR ROCKAWAY NY, 11691-3502, US
|7511 169TH ST
FRESH MEADOWS NY, 11366-1337, US
|License State||New York|
|Remove 1629302658 NPI Number|
According to our database, Dr. Diana Ilyasova O.D. NPI is 1629302658, taxonomy code is 152W00000X and license number is TUV007417, license state is located at New York. Diana Ilyasova O.D. physically located at 714 Beach 20th St, Far Rockaway NY, 11691-3502. NPI Number Diana Ilyasova O.D. has the Individual type.
1629302658 NPI number is provided on an as is basis without warranty of any kind. 1629302658 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Ilyasova O.D. are for informational purposes only.