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Contact Information

JULIAN MARYNCZAK, PA
100 PARK ST
GLENS FALLS HOSPITAL
GLENS FALLS, NY12801
 Phone: 518-926-5918
 Fax: 518-926-5917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JULIAN MARYNCZAK · (Male)

NPI # 1528059961
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/03/2005
Last updated 07/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 005903
  • NY Medicaid 02347955
  • NY Other 970013888 RR MEDICARE
Hospital affiliation(s)
  • GLENS FALLS HOSPITAL - (Acute Care)
    100 PARK STREET
    GLENS FALLS, NY 12801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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