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Individual

DR. NADEIGE GENECE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 E 17TH ST, SUITE 204, NEW YORK, NY 10003-3804
(212) 598-6412
Mailing address
301 E 17TH ST, SUITE 204, NEW YORK, NY 10003-3804

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
227602
NY
208000000X
Pediatrics Physician
25MA07918600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007365475
AETNA PPO/POS
NY
05
02422177
NY
01
2696499
GHI
NY
01
3262429
AETNA HMO
NY
01
P2917862
OXFORD
NY
Enumeration date
06/09/2005
Last updated
09/15/2022
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