# MARIO N GENOVESE DPM, PC

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

## Provider details

- **NPI number:** 1992981955
- **Authorized official:** DR. MARIO N GENOVESE DPM (OWNER)
- **Authorized official phone:** (718) 748-7474

## Contact information

- **Practice address:** 9602 4TH AVE, APT. L1, BROOKLYN, NY 11209-3439
- **Practice address phone:** (718) 748-7474
- **Practice address fax:** (718) 748-7474
- **Mailing address:** 7715 4TH AVE, BROOKLYN, NY 11209-3439
- **Mailing address phone:** (718) 748-7474
- **Mailing address fax:** (718) 748-7474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N004091 | NY | Yes |

## Other

- **Enumeration date:** 01/21/2008
- **Last updated:** 05/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01008846 | — | NY |