Igor Ilyabayev D.d.s., P.c. | |
139 N Central Ave Ste 3 Valley Stream NY 11580-3859 | |
(516) 887-0020 | |
Not Available |
Full Name | Igor Ilyabayev D.d.s., P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 139 N Central Ave Ste 3, Valley Stream, New York |
Authorized Official Name and Position | Igor Ilyabayev (DENTIST) |
Authorized Official Contact | 5168870020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Igor Ilyabayev D.d.s., P.c. 139 N Central Ave Ste 3 Valley Stream NY 11580-3859 Ph: (516) 887-0020 | Igor Ilyabayev D.d.s., P.c. 139 N Central Ave Ste 3 Valley Stream NY 11580-3859 Ph: (516) 887-0020 |
NPI Number | 1093045361 |
---|---|
Provider Enumeration Date | 01/07/2010 |
Last Update Date | 01/05/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093045361 | NPI | - | NPPES |
03168361 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 052814 (New York) | Primary |
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