| Aleksandr Ilyayev Medical PC | |
|
1651 Coney Island Ave Brooklyn NY 11230-5849 | |
| (718) 382-6101 | |
| (718) 382-6103 |
| Full Name | Aleksandr Ilyayev Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1651 Coney Island Ave, Brooklyn, New York |
| Authorized Official Name and Position | Aleksandr Ilyayev (OWNER) |
| Authorized Official Contact | 7183826101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleksandr Ilyayev Medical PC 477 E 9th St Brooklyn NY 11218-5275 Ph: (718) 382-6101 | Aleksandr Ilyayev Medical PC 1651 Coney Island Ave Brooklyn NY 11230-5849 Ph: (718) 382-6101 |
| NPI Number | 1750805479 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 03/26/2026 |
| Certification Date | 03/26/2026 |
| Medicare PECOS PAC ID | 2668730490 |
|---|---|
| Medicare Enrollment ID | O20171227001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750805479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 236023 (New York) | Primary |
| Provider Name | Aleksandr Ilyayev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962478438 PECOS PAC ID: 4183654999 Enrollment ID: I20050820000107 |
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