Individual
TAYLOR WAYNE GENOINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
8 CARNEGIE DR, FARMINGVILLE, NY 11738-1411
(631) 942-1267
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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