Individual provider · Type 1 NPI

Shamuel Ilyayev, DDS

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1063034445 Active

Practice location

10524 67th Ave Apt 3B
Forest Hills, NY 11375-2128

Call (917) 291-4733 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063034445

Shamuel Ilyayev, DDS's National Provider Identifier is 1063034445, issued on May 8, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on May 8, 2020.