Ermolenko, Guerman

Ermolenko, Guerman is an individual health care provider with primary practice located at 11 New Karner Rd #627, Guilderland NY 12084-6200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Ermolenko, Guerman can be contacted via phone (518) 229-0807.

Contact Information

Primary practice address
11 New Karner Rd #627 Guilderland NY 12084-6200
Phone: (518) 229-0807
Fax: (866) 465-2338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 214765 New York

Profile Details

NPI number 1003828039
LBN Legal business name Ermolenko, Guerman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Sep 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003828039 NPPES
New York Other J400003470 NGS MEDICARE PIN

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