Provider Demographics
NPI:1093731374
Name:BILIK, ILYA (MD, FACP)
Entity Type:Individual
Prefix:DR
First Name:ILYA
Middle Name:
Last Name:BILIK
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3632 NOSTRAND AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5308
Mailing Address - Country:US
Mailing Address - Phone:718-615-0162
Mailing Address - Fax:718-934-1324
Practice Address - Street 1:3632 NOSTRAND AVE STE 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5308
Practice Address - Country:US
Practice Address - Phone:718-615-0162
Practice Address - Fax:718-934-1324
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199478207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01696937Medicaid
NY01696937Medicaid
NYG09089Medicare UPIN