| NPI | 1942089891 |
|---|---|
| Doing Business As | JACKSON HEIGHTS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | IRINA ILYAYEVA Pediatrician 917-595-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |