Individual
DR. MICHAEL RAYMOND GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
799 DEER PARK AVE, NORTH BABYLON, NY 11703-3812
(631) 587-0872
(631) 587-0855
Mailing address
799 DEER PARK AVE, NORTH BABYLON, NY 11703-3812
(631) 587-0872
(631) 587-0855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006487-1
NY
Other
Enumeration date
06/22/2006
Last updated
03/20/2008
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