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Gennadi Josovich
Specialist in Merrick, New York
NPI 1114274776

Gennadi Josovich is a Specialist based in Merrick, NY. Gennadi Josovich practices in Merrick, NY. The NPI Number for Gennadi Josovich is 1114274776 and holds a License No. 249441031 (New York).

The current practice location address for Gennadi Josovich is 2068 Berkley Ln, Merrick, NY and can be reached out via phone at 917-642-0644.

Location: 2068 Berkley Ln, Merrick, NY, 11566-5514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114274776
Provider Name
Gennadi Josovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
2068 Berkley Ln, Merrick, NY, 11566-5514
Phone Number
917-642-0644
Fax Number
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2068 Berkley Ln
City
Merrick
State
New York
Zip
11566-5514
Phone Number
917-642-0644
Fax Number
person
Provider Business Mailing Address Details
Address
2068 Berkley Ln
City
Merrick
State
New York
Zip
11566-5514
Phone Number
917-642-0644
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
249441031 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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