MEDICARE: PATH TO HEALTH NP IN FAMILY HEALTH PC

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1811852742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATH TO HEALTH NP IN FAMILY HEALTH PC

Provider Business Mailing Address
First Line	:	80 AVENUE P APT D13
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-6114
Country	:	US
Telephone Number	:	917-779-9797
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 BAY PKWY
Second Line	:	SUITE 1F
City	:	BROOKLYN
State	:	NY
Zip	:	11214
Country	:	US
Telephone Number	:	917-779-9797
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TATIANA GENJOYAN
Credential	:	NP
Telephone Number	:	917-779-9797

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	06/02/2026

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