Diana Ilyasova (NPI# 1629302658, PAC ID# 1658413752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1629302658 |
| PAC ID by PECOS | 1658413752 |
| Professional Enrollment ID | I20100128000221 |
| Full Name | Diana Ilyasova |
| Organization Legal Name | PELHAM PARKWAY VISION CENTER INC |
| Address |
735 Lydig Ave Bronx NY 10462-2103 |
| Phone Number | 7188292160 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6305938218 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 735 Lydig Ave, Bronx, NY 10462-2103 | 7188292160 | PELHAM PARKWAY VISION CENTER INC |
| Organization Legal Name | PELHAM PARKWAY VISION CENTER INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oleg Lisitsyn | Optometry | Pelham Parkway Vision Center Inc | 735 Lydig Ave, Bronx, NY 10462-2103 |
| Street Address |
735 LYDIG AVE |
| City | BRONX |
| State | NY |
| Zip | 10462-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oleg Lisitsyn | Optometry | Pelham Parkway Vision Center Inc | 735 Lydig Ave, Bronx, NY 10462-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Selma Stolov | Clinical Social Worker | 720 Pelham S Pkwy, Bronx, NY 10462-1003 | |
| Thomas F Cullinan | Psychologist, Clinical | 2190 Boston Rd, Apt 1a, Bronx, NY 10462-1209 | |
| Oksana Berkovich | Internal Medicine | Oksana Berkovich Medical PC | 2190 Boston Rd, 1n, Bronx, NY 10462-1217 |
| Valeri I Kazakov | Internal Medicine | Boston Road Medical Practice PC | 2190 Boston Rd, Apt 1n, Bronx, NY 10462-1217 |
| Brett J Welke | Interventional Radiology | Pelham Pkwy Medical of New York LLC | 2157 White Plains Rd, Suite B, Bronx, NY 10462-1405 |
| Nhi Tran | Emergency Medicine | City Medical of Upper East Side Pllc | 2178 White Plains Rd, Bronx, NY 10462-1406 |
| Bakhtiar Ishtiaq | Emergency Medicine | City Medical of Upper East Side Pllc | 2178 White Plains Rd, Bronx, NY 10462-1406 |
| Robert B Bristow | Emergency Medicine | City Medical of Upper East Side Pllc | 2178 White Plains Rd, Bronx, NY 10462-1406 |
| Farzaneh Ghobadi-ghadikolai | Emergency Medicine | City Medical of Upper East Side Pllc | 2178 White Plains Rd, Bronx, NY 10462-1406 |
| Prameela Dibba | Family Practice | City Medical of Upper East Side Pllc | 2178 White Plains Rd, Bronx, NY 10462-1406 |
| Find all physicians in zip 10462 | |||
| City | BRONX |
| Zip Code | 10462 |
| Specialty | OPTOMETRY |
| City + Specialty | BRONX + OPTOMETRY |
Please comment or provide details below to improve the information on Diana Ilyasova.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.