Individual
DR. MICHAEL GENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
11045 QUEENS BLVD, SUITE AA, FOREST HILLS, NY 11375-5501
(718) 268-4464
(718) 544-0430
Mailing address
110 45 QUEENS BLVD, SUITE AA, FOREST HILLS, NY 11375-7432
(718) 268-4464
(718) 544-0430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2322
NY
Other
Enumeration date
10/02/2006
Last updated
01/25/2008
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