Individual
DR. JOSEPHINE SUN GENESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
507 MAIN ST, JOHNSON CITY, NY 13790
(607) 763-6075
(607) 763-5234
Mailing address
507 MAIN ST, JOHNSON CITY, NY 13790-1810
(607) 774-4937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
268884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268884
MEDICAL LICENSE
NY
Enumeration date
04/13/2006
Last updated
10/31/2019
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