Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIKOL ILYASOV, PA-C
ActiveNIKOL ILYASOV, PA-C is a Physician Assistant healthcare provider located in GREENVALE, New York. NPI 1386367142 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREENVALE, NY
Registration Details
- NPI Number
- 1386367142
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2022 (3.7036214675713 yrs)
- Last Updated
- Jun 12, 2023
Practice Information
- Address
-
2200 NORTHERN BLVDGREENVALE, NY, 115481219Browse NY providers · Browse ZIP 11548
- Phone
- 8778969301
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GREENVALE, NY
| Name | Credential | NPI |
|---|---|---|
| LEAH AMINOV | — | 1700407152 |
| RUTH SCHREIBER | PA-C | 1285210336 |
| SAMANTHA LINES | PA | 1083365902 |
| ARIELE BONGIOVANNI | — | 1184589079 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.