IRINA ILYASOV

BROOKLYN, NY
NPI1881920502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  013442)
Enumeration Date2009-10-30
Last Update Date2009-10-30
Business Address
-- IRINA ILYASOV RPA-C
8686 BAY PKWY STE M4
BROOKLYN, NY 11214-5103
Phone number: 718-265-7700
Mailing Address
-- IRINA ILYASOV RPA-C
62 KEUNE CT
STATEN ISLAND, NY 10304-1431
Phone number: 718-265-7700
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