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Organization
GENESIS WELLNESS GROUP LLC
Active
Organization
GENESIS WELLNESS GROUP LLC
Active
Other names
Genesis Wellness Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GENESIS (CHIEF WELLNESS COORDINATOR)
(718) 316-1280
Entity
Organization
Contact information
Practice address
65 BROADWAY STE 1602, NEW YORK, NY 10006-2576
(718) 316-1280
Mailing address
3450 WAYNE AVE APT 14A, BRONX, NY 10467-2515
(171) 831-6128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038095-1
NY
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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