Igor Ilyabayev D.D.S.

NPI 1013188242 - Dentist - 122300000X

NPI Details
NPI 1013188242
Gender Male
Enumeration Date 03/15/2008
Last Updated 10/31/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
139 N CENTRAL AVE
SUITE #3
VALLEY STREAM NY, 11580-3856, US
Phone (516) 887-0020
Fax (516) 887-0080
Business Location
139 N CENTRAL AVE
SUITE#3
VALLEY STREAM NY, 11580-3856, US
Phone (516) 887-0020
Fax (718) 575-0068
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 052814
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According to our database, Dr. Igor Ilyabayev D.D.S. NPI is 1013188242, taxonomy code is 122300000X and license number is 052814, license state is located at New York. Igor Ilyabayev D.D.S. physically located at 139 N Central Ave, Valley Stream NY, 11580-3856. NPI Number Igor Ilyabayev D.D.S. has the Individual type.

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1013188242 NPI number is provided on an as is basis without warranty of any kind. 1013188242 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Ilyabayev D.D.S. are for informational purposes only.