Individual
DR. TIFFANY BOQUARD GENEWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4731 TRANSIT RD, SUITE 1, LANCASTER, NY 14043-4884
(716) 668-1902
(716) 668-1919
Mailing address
4731 TRANSIT RD, SUITE 1, LANCASTER, NY 14043-4884
(716) 668-1902
(716) 668-1919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206982
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02089605
—
NY
01
—
BA0463
MEDICARE GROUP
NY
Enumeration date
05/05/2006
Last updated
09/26/2007
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