Individual
RICHARD J GENSHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
500 WHITNEY ROAD, PENFIELD, NY 14526-2341
(585) 266-1940
(585) 266-2223
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120
(716) 692-2160
(716) 213-0348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003503
NY
213E00000X
Podiatrist
N003503-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00776669
—
NY
01
—
BLUE CROSS SHIELD
8145
NY
01
—
P010003503
BLUE CHOICE
NY
Enumeration date
09/16/2006
Last updated
01/31/2008
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