IRYNA ILYASOVA

PORT JEFFERSON STATION, NY
NPI1073005484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  311503)
Enumeration Date2018-05-31
Last Update Date2021-07-20
Business Address
Dr. IRYNA ILYASOVA M.D
1500 ROUTE 112 STE A
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-686-1414
Mailing Address
Dr. IRYNA ILYASOVA M.D
1500 ROUTE 112 STE A
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-743-6840