Provider Demographics
NPI:1588640346
Name:BILYNSKY, ROMAN OLEH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMAN
Middle Name:OLEH
Last Name:BILYNSKY
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 1:126 MISSOURI AVENUE (BOX #1267)
Mailing Address - Street 2:GLWACH - ATTN: CREDENTIALS OFFICE
Mailing Address - City:FORT LEONARD WOOD
Mailing Address - State:MO
Mailing Address - Zip Code:65473-8952
Mailing Address - Country:US
Mailing Address - Phone:573-596-0415
Mailing Address - Fax:573-596-0524
Practice Address - Street 1:126 MISSOURI AVENUE
Practice Address - Street 2:GLWACH - ATTN: CREDENTIALS OFFICE
Practice Address - City:FORT LEONARD WOOD
Practice Address - State:MO
Practice Address - Zip Code:65473-8952
Practice Address - Country:US
Practice Address - Phone:573-596-0415
Practice Address - Fax:573-596-0524
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047815L208000000X, 2084N0402X, 2084P0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0005XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurodevelopmental Disabilities