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NPI Code Detail

MEDICARE: DR. JENNIFER ANN GENUARDI MD

MEDICARE:  DR. JENNIFER ANN GENUARDI  MD
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
1208D00000XGeneral Practice Physician252534NY

General Provider Information

NPI Number : 1154450146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER ANN GENUARDI MD
Provider Business Mailing Address
First Line : 1065 SOUTHERN BLVD
Second Line :
City : BRONX
State : NY
Zip : 10459-2417
Country : US
Telephone Number : 718-589-2440
Fax Number :
Provider Business Practice Location Address
First Line : 890 HUNTS POINT AVE
Second Line :
City : BRONX
State : NY
Zip : 10474-5402
Country : US
Telephone Number : 718-589-2440
Fax Number : 718-991-4516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 05/29/2019

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Directions to “ DR. JENNIFER ANN GENUARDI MD” Practice Location

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