ILHOM BAKIYEV

BROOKLYN, NY
NPI1073293692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NY  030168)
Enumeration Date2023-07-19
Last Update Date2023-07-19
Business Address
MR. ILHOM BAKIYEV PA
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 718-616-4797
Mailing Address
MR. ILHOM BAKIYEV PA
410 AVENUE X APT 6A
BROOKLYN, NY 11223-6032
Phone number: 347-257-7186