OrganizationActive
Geriatric Psychiatry Consultant, PLLC
NPI 1326288622 · Geriatric Psychiatry Physician · Albany, NY
Provider details
- NPI number
- 1326288622
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Guerman Ermolenko, President(518) 229-0807
- License
- 214765 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Washington Avenue Ext
Albany, NY 12203-5335
Phone: (518) 229-0807
Fax: (866) 465-2338
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 627
Guilderland, NY 12084-0627
Registry dates
- Enumerated
- 2009-02-26
- Last updated
- 2015-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.