DR. GUERMAN ERMOLENKO (NPI# 1003828039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003828039 |
| Entity Type | Individual |
| Full Name | DR. GUERMAN ERMOLENKO |
| Credential | MD |
| Practice Address |
11 New Karner Rd #627 Guilderland NY 12084-6200 |
| Practice Telephone | 5182290807 |
| Practice Fax Number | 8664652338 |
| Mailing Telephone | 5182290807 |
| Mailing Fax Number | 8664652338 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
214765 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NGS MEDICARE PIN | J400003470 | 01 |
| Street Address |
11 NEW KARNER RD #627 |
| City | GUILDERLAND |
| State | NY |
| Zip Code | 12084-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356869788 | Yinna Wang | Specialist/Technologist, Other | 91 Kennsington Court, H, Guilderland, NY 12084 | 2017-09-06 |
| 1265837819 | Marybeth Musco | Counselor | 280 Western Avenue, Karner Psychological Associates, Guilderland, NY 12084 | 2014-10-24 |
| 1215336862 | Alicia Mahler | Psychologist | 2568 Western Ave, Suite 203, Guilderland, NY 12084 | 2014-08-20 |
| 1710134804 | Rosemary C Pannone | Licensed Practical Nurse | 6021 Sttefarm Rd, Guilderland, NY 12084 | 2008-08-20 |
| 1851548937 | Gail F Mahar | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-20 |
| 1801043807 | Santiago Rodriguez | Licensed Practical Nurse | 6021 State Farm Rd, Guilderland, NY 12084 | 2008-08-20 |
| 1023295565 | Angela Jean Laventure | Licensed Practical Nurse | 6270 Foundry Road, Guilderland, NY 12084 | 2008-01-28 |
| 1174673586 | Arthur Demoree | Physical Therapist | 2563 Western Avenue, Guilderland, NY 12084 | 2007-01-11 |
| 1235208927 | Wheelers Accessible Vans Inc. | Non-emergency Medical Transport (VAN) | 2316a Western Ave, Guilderland, NY 12084 | 2006-11-07 |
| 1023123916 | Margaret Loretta Greenwood | Nurse Practitioner | 3 Mercycare Lane, Guilderland, NY 12084 | 2006-08-20 |
| Find all providers in zip 12084 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982003380 | Johanna Cabassa | Psychiatry & Neurology | 111 E 210th St # Street1, Bronx, NY 10467-2401 | 2014-08-21 |
| 1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
| 1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
| 1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
| 1679734651 | Stephanie Joan Samuels | Psychiatry & Neurology | 25 Gilbert Dr, Hyde Park, NY 12538-2431 | 2008-06-22 |
| 1295992410 | Lamberto Soriano Lopez | Psychiatry & Neurology | 28 Sherri Ln, Spring Valley, NY 10977-1300 | 2008-05-16 |
| 1982802906 | Alex Mikhelson | Psychiatry & Neurology | 690 Castleton Ave, Staten Island, NY 10310-1818 | 2007-07-11 |
| 1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
| 1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
| 1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | GUILDERLAND |
| Zip Code | 12084 |
Please comment or provide details below to improve the information on DR. GUERMAN ERMOLENKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.