Individual
DR. LEONARD DANIEL GENOVESE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1310 84TH ST, BROOKLYN, NY 11228-3000
(718) 837-5685
(718) 837-0130
Mailing address
1310 84TH ST, BROOKLYN, NY 11228-3000
(718) 837-5685
(718) 837-0130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01652088
—
NY
01
—
13194
ELDERPLAN
NY
01
—
1400594
UNITED HEALTHCARE
NY
01
—
1P1272
HEALTHNET
NY
01
—
25U121
EMPIRE BC BS
NY
01
—
4661531
AETNA
NY
01
—
5902016
GHI
NY
01
—
8274288
CIGNA
NY
01
—
P458055
OXFORD
NY
Enumeration date
06/29/2006
Last updated
11/12/2020
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