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Dr. Mario Nicholas Genovese, DPM
Foot & Ankle Surgery Podiatrist in Brooklyn, New York
NPI 1447337738

Mario Nicholas Genovese is a Foot & Ankle Surgery Podiatrist based in Brooklyn, NY and is specialized in Foot & Ankle Surgery. Mario Nicholas Genovese practices in Brooklyn, NY and has the professional credentials of DPM. The NPI Number for Mario Nicholas Genovese is 1447337738 and holds a License No. N004091 (New York).

The current practice location address for Mario Nicholas Genovese is 7715 4Th Ave, Brooklyn, NY and can be reached out via phone at 718-748-7474 and via fax at 718-667-0782.

Location: 7715 4Th Ave, Brooklyn, NY, 11209-3439
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Provider Profile Details
NPI Number
1447337738
Provider Name
Mario Nicholas Genovese
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7715 4Th Ave, Brooklyn, NY, 11209-3439
Phone Number
718-748-7474
Fax Number
718-667-0782
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11-3504574 01 NY TAX IDENTIFICATION NUMBER
01008846 05 NY
institution
Provider Business Practice Location Address Details
Address
7715 4Th Ave
City
State
Zip
11209-3439
Phone Number
718-748-7474
Fax Number
718-667-0782
person
Provider Business Mailing Address Details
Address
7715 4Th Ave
City
State
Zip
11209-3439
Phone Number
718-748-7474
Fax Number
718-667-0782
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
N004091 (New York)
Definition
Definition to come...
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