Organization
GENNADY UKRAINSKY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LAM (CREDENTIALING)
(914) 471-3422
Entity
Organization
Contact information
Practice address
108-12 72ND AVE, 3RD FLOOR, FOREST HILLS, NY 11375-7080
(718) 544-9300
(718) 544-9301
Mailing address
PO BOX 2625, NEW YORK, NY 10009-8925
(914) 471-3422
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NY
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/18/2007
Last updated
02/07/2017
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