Provider Demographics
NPI:1871632802
Name:FURMANSKY, NIKOLAI (MD)
Entity type:Individual
Prefix:
First Name:NIKOLAI
Middle Name:
Last Name:FURMANSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 UPLAND UNIT B
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623-9116
Mailing Address - Country:US
Mailing Address - Phone:970-205-9084
Mailing Address - Fax:
Practice Address - Street 1:320 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:CO
Practice Address - Zip Code:81623-2085
Practice Address - Country:US
Practice Address - Phone:970-205-9084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO534642084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry