Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GENESIS MEDICAL SERVICES
Active
Organization
GENESIS MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACEMON KURIAKOSE (OWNER)
(646) 331-7345
Entity
Organization
Contact information
Practice address
21418 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1808
(646) 331-7345
Mailing address
21418 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1808
(646) 331-7345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
225800000X
Recreation Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up