Individual provider · Type 1 NPI

Nikol Ilyasov, PA-C

Physician Assistant · Greenvale, NY

NPI number 1386367142 Active

Practice location

2200 Northern Blvd
Greenvale, NY 11548-1219

Mailing address

2200 Northern Boulvard, Suite 150
Greenvale, NY 11548

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386367142

Nikol Ilyasov, PA-C's National Provider Identifier is 1386367142, issued on Sep 26, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenvale, NY. The record was last updated on Jun 12, 2023.