IRYNA ILYASOVA

PORT JEFFERSON, NY
NPI1073005484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: NY  311503)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  311503)
Enumeration Date2018-05-31
Last Update Date2025-11-03
Business Address
Dr. IRYNA ILYASOVA M.D
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
Mailing Address
Dr. IRYNA ILYASOVA M.D
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320