Individual provider · Type 1 NPI

Mazal Ilyaich

Student in an Organized Health Care Education/Training Program · Rego Park, NY

NPI number 1225513294 Active

Practice location

6261 99th St
Rego Park, NY 11374-1841

Call (646) 639-1040 Map

Mailing address

9777 Queens Blvd
Rego Park, NY 11374-3335

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 1225513294

Mazal Ilyaich's National Provider Identifier is 1225513294, issued on Sep 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rego Park, NY. The record was last updated on Sep 26, 2018.