Individual
ANDREW GENESLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
274232
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
274232
NY
Other
Enumeration date
03/23/2012
Last updated
02/08/2024
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