# GARY J KOLANCHICK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205856051
- **Authorized official:** GARY J KOLANCHICK M.D. (PRESIDENT)
- **Authorized official phone:** (518) 872-9262

## Contact information

- **Practice address:** 1772 HELDERBERG TRL, BERNE, NY 12023-2709
- **Practice address phone:** (518) 872-9262
- **Practice address fax:** (518) 872-9265
- **Mailing address:** 1772 HELDERBERG TRL, BERNE, NY 12023-2709
- **Mailing address phone:** (518) 872-9262
- **Mailing address fax:** (518) 872-9265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 142539 | NY | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 04/06/2011