Ilyabayev, Igor

Ilyabayev, Igor is an individual health care provider with primary practice located at 139 N Central Ave Suite #3, Valley Stream NY 11580-3856. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ilyabayev, Igor can be contacted via phone (516) 887-0020.

Contact Information

Primary practice address
139 N Central Ave Suite #3 Valley Stream NY 11580-3856
Phone: (516) 887-0020
Fax: (516) 887-0080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 052814 New York

Profile Details

NPI number 1013188242
LBN Legal business name Ilyabayev, Igor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2008
Last updated Oct 31st, 2015 - about 11 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 1013188242 NPPES
New York MEDICAID 03168361

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