Ilyadzhanova, Tamara

Ilyadzhanova, Tamara is an sole proprietor health care provider with primary practice located at 6249 Alderton St , Rego Park NY 11374-2817. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Ilyadzhanova, Tamara can be contacted via phone (917) 704-6030.

Contact Information

Primary practice address
6249 Alderton St Rego Park NY 11374-2817
Phone: (917) 704-6030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 027292 New York

Profile Details

NPI number 1720436876
LBN Legal business name Ilyadzhanova, Tamara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2016
Last updated Feb 11th, 2019 - about 7 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.

Request for update

Popular Providers