Individual provider · Type 1 NPI

Ilan Igonin

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

NPI number 1982550935 Active

Practice location

6704 Myrtle Ave
Glendale, NY 11385-7033

Call (347) 871-5931 Map

Mailing address

2879 W 12th St Apt 15Q
Brooklyn, NY 11224-3016

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 1982550935

Ilan Igonin's National Provider Identifier is 1982550935, issued on Mar 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, NY. The record was last updated on Mar 10, 2026.