IRINA ILYASOV RPA-C NPI 1881920502

NPI Information

Irina Ilyasov, RPA-C is a medical physician assistant in Brooklyn, NY. Irina Ilyasov, RPA-C NPI is 1881920502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8686 BAY PKWY
STE M4
BROOKLYN, NY
ZIP 11214-103
Phone: (718) 265-7700
Fax: (718) 265-7701

The NPI 1881920502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 10/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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