Organization
GARY J KOLANCHICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J KOLANCHICK M.D. (PRESIDENT)
(518) 872-9262
Entity
Organization
Contact information
Practice address
1772 HELDERBERG TRL, BERNE, NY 12023-2709
(518) 872-9262
(518) 872-9265
Mailing address
1772 HELDERBERG TRL, BERNE, NY 12023-2709
(518) 872-9262
(518) 872-9265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
142539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00714705
—
NY
Enumeration date
07/21/2006
Last updated
04/06/2011
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