Miron A Iosilevich


Address: 327 W Fayette St, Suite 206, Syracuse, NY 13202-1279
Phone: 3154717728

Miron A Iosilevich (NPI# 1730132374, PAC ID# 3375505522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1730132374
PAC ID by PECOS 3375505522
Professional Enrollment ID I20041029000698
Full Name Miron A Iosilevich
Address 327 W Fayette St
Suite 206
Syracuse
NY 13202-1279
Phone Number 3154717728
Gender M
Credential MD
Graduation Year 1976
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330140 ST JOSEPH'S HOSPITAL HEALTH CENTER

Other Locations

Address Phone Organization
301 Prospect Ave, Syracuse, NY 13203-1807 ST JOSEPHS HOSPITAL HEALTH CENTER
327 W Fayette St, Suite 206, Syracuse, NY 13202-1279 3154717728

Organization Information

Office Location

Street Address 327 W FAYETTE ST
SUITE 206
City SYRACUSE
State NY
Zip 13202-1279

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Name Specialty Organization Address
Anna M Bailey Psychologist, Clinical 327 W Fayette St, Suite 310, Syracuse, NY 13202-1279

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Competitor

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City SYRACUSE
Zip Code 13202
Specialty PSYCHIATRY
City + Specialty SYRACUSE + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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