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1467782672
SVETLANA ILYASOVA
REGO PARK, NY
NPI
1467782672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013789)
Enumeration Date
2010-01-11
Last Update Date
2024-10-30
Business Address
SVETLANA ILYASOVA
6360 98TH ST APT D16
REGO PARK, NY 11374-2218
Phone number: 646-286-8952
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Mailing Address
SVETLANA ILYASOVA
5645 MAINSTREET
QUEENS, NY 11355
Phone number: 718-670-2000
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