Ilizarov, Svetlana

Ilizarov, Svetlana is an sole proprietor health care provider with primary practice located at 181 Belle Mead Rd , East Setauket NY 11733-3495. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Ilizarov, Svetlana can be contacted via phone (631) 444-6996.

Contact Information

Primary practice address
181 Belle Mead Rd East Setauket NY 11733-3495
Phone: (631) 444-6996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 215268 New York
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 215268 New York

Profile Details

NPI number 1093722183
LBN Legal business name Ilizarov, Svetlana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093722183 NPPES
New York MEDICAID 2090022

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