GERIATRIC PSYCHIATRY CONSULTANT PLLC NPI 1326288622

NPI Information

NPI: 1326288622
Provider Name: GERIATRIC PSYCHIATRY CONSULTANT, PLLC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
200 WASHINGTON AVENUE EXT
ALBANY, NY
ZIP 12203
Phone: (518) 229-0807
Get Directions

GERIATRIC PSYCHIATRY CONSULTANT, PLLC is a geriatric psychiatry psychiatry neurology in Albany, NY. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. GERIATRIC PSYCHIATRY CONSULTANT, PLLC NPI is 1326288622. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 WASHINGTON AVENUE EXT
ALBANY, NY
ZIP 12203-335
Phone: (518) 229-0807
Fax: (866) 465-2338

The provider's authorized official is Guerman Ermolenko .
The authorized official title is President and has the following contact phone number (518) 229-0807.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 11/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	214765	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G76834 NY	MEDICARE UPIN
2	J100000220	OTHER	NEW YORK	NGS MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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