Bratslavsky, Gennady

Bratslavsky, Gennady is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Bratslavsky, Gennady can be contacted via phone (315) 464-6106.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-6106
Fax: (315) 464-6117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD450595 Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 0101237809 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X 260761 New York

Profile Details

NPI number 1508093121
LBN Legal business name Bratslavsky, Gennady
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Jan 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508093121 NPPES
New York MEDICAID 03329242

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