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Individual
ELIZABETH GENCO
Active
Individual
ELIZABETH GENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
044463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026129801
UNIVERA
NY
01
—
000525411002
BCBS OF WNY
NY
01
—
482159
VALUE OPTIONS/GHI
NY
01
—
6290385
INDEPENDENT HEALTH
NY
Enumeration date
09/12/2005
Last updated
04/09/2008
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