Iosilevich, Miron A
Iosilevich, Miron A is an individual health care provider with primary practice located at 742 James St Mental Health Services, Syracuse NY 13203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Iosilevich, Miron A can be contacted via phone (315) 703-2700.Contact Information
Primary practice address
742 James St Mental Health Services
Syracuse NY 13203
Phone: (315) 703-2700
Fax: (315) 703-2730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 1727451 | New York |
Profile Details
| NPI number | 1730132374 |
|---|---|
| LBN Legal business name | Iosilevich, Miron A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | May 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730132374 | NPPES |
| New York | MEDICAID | 01125800 |
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