Provider Demographics
NPI:1578865432
Name:SHIL, LILIYA (PA-C)
Entity Type:Individual
Prefix:
First Name:LILIYA
Middle Name:
Last Name:SHIL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:2915 AVENUE S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2544
Mailing Address - Country:US
Mailing Address - Phone:718-998-9669
Mailing Address - Fax:718-339-5614
Practice Address - Street 1:2925 W 5TH ST
Practice Address - Street 2:APT 11B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224
Practice Address - Country:US
Practice Address - Phone:917-538-3330
Practice Address - Fax:718-677-6693
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY23-014057363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical