| Ilyagu Medical Pc | |
|
Mark Ilyagu Medical Pc 811 Southern Blvd Bronx NY 10459 | |
| (717) 716-7107 | |
| Not Available |
| Full Name | Ilyagu Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | Mark Ilyagu Medical Pc, Bronx, New York |
| Authorized Official Name and Position | Mark Ilyagu (OWNER) |
| Authorized Official Contact | 7177167107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilyagu Medical Pc Mark Ilyagu Medical Pc 221 Seabreeze Ave, Apt Ph2b Brooklyn NY 11224 Ph: (717) 716-7107 | Ilyagu Medical Pc Mark Ilyagu Medical Pc 811 Southern Blvd Bronx NY 10459 Ph: (717) 716-7107 |
| NPI Number | 1326719733 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326719733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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