Provider Demographics
NPI:1114810223
Name:BANGIYEVA, ILANA (RN)
Entity type:Individual
Prefix:
First Name:ILANA
Middle Name:
Last Name:BANGIYEVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9833 64TH AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2510
Mailing Address - Country:US
Mailing Address - Phone:347-605-0521
Mailing Address - Fax:
Practice Address - Street 1:9833 64TH AVE APT 1B
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2510
Practice Address - Country:US
Practice Address - Phone:347-605-0521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY544377-01163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool