Active NPIIndividual providerSole proprietor

Ms. Lisa Genova, MS

Specialist in Staten Island, New York

NPI Number1306100953
Practice location
888 Stafford Avenue, Staten Island, NY 10309
Fax
—
Last updated
June 28, 2012

Lisa Genova is a Specialist based in Staten Island, NY. Lisa Genova practices in Staten Island, NY and has the professional credentials of MS. The NPI Number for Lisa Genova is 1306100953 and holds a License No. 569374111 (NY). The current practice location address for Lisa Genova is 888 Stafford Avenue, Staten Island, NY 10309 and can be reached out via phone at 347-907-9688.

Provider Profile Details

NPI Number
1306100953
Provider Name
Lisa Genova
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
888 Stafford Avenue, Staten Island, NY 10309
Phone Number
347-907-9688
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2012
Last Update Date
June 28, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
888 Stafford Avenue
Staten Island, NY 10309
Zip
10309
Phone Number
347-907-9688
Staten Island, NY 10309Get directions →

Provider Business Mailing Address Details

Address
888 Stafford Avenue
Staten Island, NY 10309
City
Staten Island
State
NY
Zip
10309
Phone Number
347-907-9688

License Information

License Number
569374111
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Lisa Genova, MS?

The NPI number of Ms. Lisa Genova, MS is 1306100953. It was assigned on June 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa Genova, MS?

Ms. Lisa Genova, MS is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 569374111.

Where does Ms. Lisa Genova, MS practice?

The practice location is 888 Stafford Avenue, Staten Island, NY 10309. The office can be reached at 347-907-9688 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306100953 directly on the NPPES registry website.

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