# GERIATRIC PSYCHIATRY CONSULTANT, PLLC

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

## Provider details

- **NPI number:** 1326288622
- **Authorized official:** DR. GUERMAN ERMOLENKO MD (PRESIDENT)
- **Authorized official phone:** (518) 229-0807

## Contact information

- **Practice address:** 200 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5335
- **Practice address phone:** (518) 229-0807
- **Practice address fax:** (866) 465-2338
- **Mailing address:** PO BOX 627, GUILDERLAND, NY 12084-0627
- **Mailing address phone:** (518) 229-0807
- **Mailing address fax:** (866) 465-2338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | 214765 | NY | Yes |

## Other

- **Enumeration date:** 02/26/2009
- **Last updated:** 11/19/2015