# A & S MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083181523
- **Authorized official:** ALVARO GENAO MD (OWNER)
- **Authorized official phone:** (917) 991-2565

## Contact information

- **Practice address:** 30 W 138TH ST, NEW YORK, NY 10037-1710
- **Practice address phone:** (212) 690-7400
- **Mailing address:** 115 WILLOW AVE, HACKENSACK, NJ 07601-3052
- **Mailing address phone:** (917) 991-2565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2018
- **Last updated:** 01/15/2019
