Individual
GENNARO MARC POLVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 HAGEN DR STE 300, ROCHESTER, NY 14625-2658
(585) 922-0151
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 368-3531
(585) 368-3747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
272834
NY
207Q00000X
Family Medicine Physician
Primary
272834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03941513
—
NY
Enumeration date
10/06/2006
Last updated
01/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us