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NPI Code Detail

MEDICARE: ALANA MARIE GENOVESE PA-C

MEDICARE: ALANA MARIE GENOVESE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA067502PA

General Provider Information

NPI Number : 1285590281
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANA MARIE GENOVESE PA-C
Provider Business Mailing Address
First Line : 164 PENN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-4222
Country : US
Telephone Number : 917-831-8104
Fax Number :
Provider Business Practice Location Address
First Line : 100 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6217
Country : US
Telephone Number : 866-785-8537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2026
Last Update Date : 01/16/2026

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Directions to “ ALANA MARIE GENOVESE PA-C” Practice Location

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