Individual
JENNIFER GENACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 BERKSHIRE RD, GREAT NECK, NY 11023-1442
(862) 485-7042
Mailing address
76 BERKSHIRE RD, GREAT NECK, NY 11023-1442
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408249
NY
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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