Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 274149 | NY |
NPI | 1013145663 |
---|---|
Provider Name | Ms. Ilona Albertivna Shylinska |
First Address | Bronx, NY 10457 |
Second Address | Bronx, NY 10457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 05/12/2014 |