Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Georgiy Yegiazarov, PA

Individual provider Physician Assistant · NPI 1346724770

Georgiy Yegiazarov, PA is a Physician Assistant in Syracuse, New York. Graduated from Pennsylvania State University College of Medicine in 2018, 8 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Trained at
Pennsylvania State University College of Medicine
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

725 E Adams Street 5th Fl
Syracuse, NY 13210
Phone: (315) 464-5726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022633 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1346724770
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 21, 2018
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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