Individual
TARAS GULYANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 271-3300
Mailing address
5 E CANDLEWYCK LANE, UTICA, NY 13502
(585) 615-1871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275440
NY
208M00000X
Hospitalist Physician
Primary
275440
NY
Other
Enumeration date
06/23/2009
Last updated
11/05/2018
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