Individual
DR. LISA MARIE GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006562-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000390208003
COMMUNITY BLUE
NY
01
—
000390208004
COMMUNITY BLUE
NY
05
—
02443465
—
NY
01
—
161578122
EMPIRE - UNITED HEALTHCAR
NY
01
—
251744484
NOVA
NY
01
—
7290258
INDEPENDENT HEALTH
—
01
—
P00412826
MEDICARE RAILROAD
NY
Enumeration date
06/16/2005
Last updated
01/22/2010
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