Healthcare Provider Details

I. General information

NPI: 1649920034
Provider Name (Legal Business Name): ISABEL GENECIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

PO BOX 29751
NEW YORK NY
10087-9751
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number344231-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number344231-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: