SVETLANA ILYASOVA

REGO PARK, NY
NPI1467782672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  013789)
Enumeration Date2010-01-11
Last Update Date2024-10-30
Business Address
SVETLANA ILYASOVA
6360 98TH ST APT D16
REGO PARK, NY 11374-2218
Phone number: 646-286-8952
Mailing Address
SVETLANA ILYASOVA
5645 MAINSTREET
QUEENS, NY 11355
Phone number: 718-670-2000