Iosilevich, Miron A

Iosilevich, Miron A is an individual health care provider with primary practice located at 742 James St Mental Health Services, Syracuse NY 13203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Iosilevich, Miron A can be contacted via phone (315) 703-2700.

Contact Information

Primary practice address
742 James St Mental Health Services Syracuse NY 13203
Phone: (315) 703-2700
Fax: (315) 703-2730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1727451 New York

Profile Details

NPI number 1730132374
LBN Legal business name Iosilevich, Miron A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 6th, 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 1730132374 NPPES
New York MEDICAID 01125800

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