YEKATERINA ILYASOVA

BROOKLYN, NY
NPI1689051724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F306880)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: NY  F340953)
Enumeration Date2015-04-27
Last Update Date2016-01-12
Business Address
-- YEKATERINA ILYASOVA NP
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
Mailing Address
-- YEKATERINA ILYASOVA NP
10240 62ND AVE APT 6P
FOREST HILLS, NY 11375-1034
Phone number: 347-935-7001