Physician Compare National (NPI:1164450136)

HEALTHCARE PROVIDER: LEONARD DANIEL GENOVESE JR. D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1164450136
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941477863
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120118000153
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GENOVESE
	Individual professional last name
Provider First Name	LEONARD
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8125 -17 AVE
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112142113
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7188375685
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y