Individual
GARY JOHN KOLANCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1772 HELDERBERG TRL, BERNE, NY 12023-2709
(518) 872-9258
Mailing address
1772 HELDERBERG TRL, APT 1, 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
01
—
110623000091
FIDELIS
NY
01
—
308205
SENIOR WHOLE HEALTH
NY
01
—
5385308
AETNA
NY
01
—
651047
GHI/HMO
NY
01
—
7D0091
EMPIRE BLUECROSS
NY
Enumeration date
11/16/2005
Last updated
07/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us