Individual
DR. JOSE ALBERTO GENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 GRAHAM AVE, BROOKLYN, NY 11206-2677
(718) 782-9100
Mailing address
162 GRAHAM AVE, BROOKLYN, NY 11206-2677
(718) 782-9100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0418416-1
NY
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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