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Organization

KARI W BOVENZI DBA GENESIS PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARI BOVENZI M.D. (OWNER)
(518) 489-6822
Entity
Organization

Contact information

Practice address
638 WESTERN AVE, ALBANY, NY 12203-1830
(518) 489-6822
(518) 489-4040
Mailing address
638 WESTERN AVE, ALBANY, NY 12203-1830
(518) 489-6822
(518) 489-4040

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
191281
NY

Other

Enumeration date
12/19/2007
Last updated
12/19/2007
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