Individual
ANTHONY PATRICK GENOVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 S STATE ST, PAINESVILLE, OH 44077-3445
(550) 578-8200
Mailing address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 205-2417
(440) 205-2417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864093
—
OH
Enumeration date
09/02/2020
Last updated
06/20/2023
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