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MARIO N GENOVESE DPM PC NPI 1992981955


NPI Information

NPI: 1992981955
Provider Name: MARIO N GENOVESE DPM, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7715 4TH AVE
BROOKLYN, NY
ZIP 11209
Phone: (718) 748-7474
Get Directions

MARIO N GENOVESE DPM, PC is a foot and ankle surgery podiatrist in Brooklyn, NY. MARIO N GENOVESE DPM, PC NPI is 1992981955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7715 4TH AVE
BROOKLYN, NY
ZIP 11209-439
Phone: (718) 748-7474
Fax: (718) 748-7474

The provider's authorized official is Mario N Genovese .
The authorized official title is Owner and has the following contact phone number (718) 748-7474.

The enumeration date for this NPI number is 1/21/2008 and was last updated on 12/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryN004091NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101008846MEDICAIDNEW YORK
2P44032MEDICARE PINNEW YORK
3T81565MEDICARE UPINNEW YORK
4P44033MEDICARE PINNEW YORK
55152360001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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