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1730613712
WAJIHA ILLYAS
EAST MEADOW, NY
NPI
1730613712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 420866010628)
Enumeration Date
2017-04-17
Last Update Date
2021-06-22
Business Address
WAJIHA ILLYAS MD
2282 5TH ST
EAST MEADOW, NY 11554-1912
Phone number: 631-704-2041
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Mailing Address
WAJIHA ILLYAS MD
2282 5TH ST
EAST MEADOW, NY 11554-1912
Phone number:
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