| Doctor Name: | DR. GUERMAN ERMOLENKO |
| NPI Number: | 1003828039 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 214765 |
| Business Practice Address: | 11 New Karner Rd #627 Guilderland, NY - 120846200 |
| Business Phone Number: | 5182290807 |
| Business Fax Number: | 8664652338 |
| Mailing Address: | 11 New Karner Rd, #627 GUILDERLAND |
| State: | NY |
| Postal Code: | 120846200 |
| Phone Number: | 5182290807 |
| Fax Number: | 8664652338 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 09/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0805X |
| License Number: | 214765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Geriatric Psychiatry |
| Taxonomy Definition: | 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. |