Individual
ASHLEY GENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
(516) 674-7300
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026940
NY
Other
Enumeration date
08/02/2021
Last updated
11/25/2022
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