Individual
DR. MARIELIA GERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 304-5210
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
259851
NY
2085R0202X
Diagnostic Radiology Physician
036137553
IL
2085R0202X
Diagnostic Radiology Physician
Primary
259851
NY
2085R0202X
Diagnostic Radiology Physician
D74579
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056107000
—
MD
Enumeration date
06/09/2008
Last updated
05/12/2025
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