# GENESIS INTERNAL MEDICINE PLLC

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

## Provider details

- **NPI number:** 1639305089
- **Authorized official:** NANCY QUIBEIL (PRACTICE MGR)
- **Authorized official phone:** (585) 335-2210

## Contact information

- **Practice address:** 50 E SOUTH ST., SUITE 600, GENESEO, NY 14454
- **Practice address phone:** (585) 243-5109
- **Practice address fax:** (585) 243-5124
- **Mailing address:** 50 E SOUTH ST., SUITE 600, GENESEO, NY 14454
- **Mailing address phone:** (585) 243-5109
- **Mailing address fax:** (585) 243-5124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 234105 | NY | Yes |

## Other

- **Enumeration date:** 05/29/2009
- **Last updated:** 09/03/2009