Individual provider · Type 1 NPI
Yekaterina Ilyasova, NP
Adult Health Nurse Practitioner · Brooklyn, NY
NPI number
1689051724
Active
Practice location
800 Poly Pl
Brooklyn, NY 11209-7104
Mailing address
10240 62nd Ave Apt 6P
Forest Hills, NY 11375-1034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F306880 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | F340953 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1689051724
Yekaterina Ilyasova, NP's National Provider Identifier is 1689051724, issued on Apr 27, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 12, 2016.