Healthcare Provider Details

I. General information

NPI: 1790702421
Provider Name (Legal Business Name): MEHMET RIFAT GENC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 EAST 68TH STREET SUITE J130
NEW YORK NY
10021
US

IV. Provider business mailing address

1600 SW ARCHER RD BOX 100294
GAINESVILLE FL
32610-0294
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-3000
  • Fax: 212-746-8085
Mailing address:
  • Phone: 352-273-7562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME132031
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME132031
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: