Individual
ADRIAN E GENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Mailing address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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