Ilya Miloslavskiy DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

052222 Issued in NY

Legal business name

ILYA MILOSLAVSKIY DDS PLLC

Practice address

2364 Frederick Douglass Blvd
New York, NY 10027-3640

Phone

(917) 658-4575

NPI assigned

Jun 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ilya Miloslavskiy, DDS

Title

President

Phone

(917) 658-4575

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1194011171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273640",
            "telephone_number": "917-658-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273640",
            "telephone_number": "917-658-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILYA MILOSLAVSKIY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "MILOSLAVSKIY",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-658-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02771488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• June Ilowite
• David H Ilson, MD
• Erica Ilton
• Diemmai Ilustre, R.N.
• Oluponle Iluyomade, MD
• Michael Ilyabayev
• Milana Ilyadzhanova
• Benedikt Ilyaguyev
• Yonit Ilyaguyev, FNP
• Maria Sultana Ilyas, PA

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.