Individual
DR. GUERMAN ERMOLENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 NEW KARNER RD, #627, GUILDERLAND, NY 12084-6200
(518) 229-0807
(866) 465-2338
Mailing address
11 NEW KARNER RD, #627, GUILDERLAND, NY 12084-6200
(518) 229-0807
(866) 465-2338
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
214765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400003470
NGS MEDICARE PIN
NY
Enumeration date
08/11/2006
Last updated
09/29/2014
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