Sergey Zavilyansky, MD | |
5100 W Taft Rd, Suite 2t, Liverpool, NY 13088-3807 | |
(315) 452-2828 | |
(315) 452-2891 |
Full Name | Sergey Zavilyansky |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 5100 W Taft Rd, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194770610 | NPI | - | NPPES |
01707515 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 204742 (New York) | Primary |
Entity Name | St Josephs Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
Mailing Address | Practice Location Address |
---|---|
Sergey Zavilyansky, MD 5100 W Taft Rd, Suite 2t, Liverpool, NY 13088-3807 Ph: (315) 452-2828 | Sergey Zavilyansky, MD 5100 W Taft Rd, Suite 2t, Liverpool, NY 13088-3807 Ph: (315) 452-2828 |
Brian Keith Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8324 Oswego Rd, Ste D, Liverpool, NY 13090 Phone: 315-652-6551 Fax: 315-652-7039 | |
Gary M Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4820 W Taft Rd, Ste 215, Liverpool, NY 13088 Phone: 315-413-0004 Fax: 315-413-0828 | |
Christian L Holcomb, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8134a Oswego Rd, Liverpool, NY 13090 Phone: 315-409-4514 Fax: 315-409-4537 | |
Michael H Tong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Liverpool, NY 13088 Phone: 315-452-2829 Fax: 315-452-2870 | |
Heather J Finger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8324 Oswego Rd Ste D, Liverpool, NY 13090 Phone: 315-652-6551 | |
Aaron Garber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088 Phone: 315-452-2333 Fax: 315-452-2336 | |
Lauri Ann Fairbanks Doane, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8100 Oswego Road, Suite 220, Liverpool, NY 13090 Phone: 315-652-6551 Fax: 315-652-9698 |