| Gary J Kolanchick Md Pc | |
| 
					1772 Helderberg Trl Berne NY 12023-2709  | |
| (518) 872-9262 | |
| (518) 872-9265 | 
| Full Name | Gary J Kolanchick Md Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1772 Helderberg Trl, Berne, New York | 
| Authorized Official Name and Position | Gary J Kolanchick (PRESIDENT) | 
| Authorized Official Contact | 5188729262 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gary J Kolanchick Md Pc 1772 Helderberg Trl Berne NY 12023-2709 Ph: (518) 872-9262  | Gary J Kolanchick Md Pc 1772 Helderberg Trl Berne NY 12023-2709 Ph: (518) 872-9262  | 
| NPI Number | 1205856051 | 
|---|---|
| Provider Enumeration Date | 07/21/2006 | 
| Last Update Date | 04/06/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205856051 | NPI | - | NPPES | 
| 00714705 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 142539 (New York) | Primary | 
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1772 Helderberg Trl, Berne, NY 12023 Phone: 518-872-9262 Fax: 518-872-9265  | |
Hilltown Healthcare Np Family Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 Helderberg Trail, Berne, NY 12023 Phone: 518-872-0009 Fax: 518-874-0961  |