Individual
GENESIS VILLACRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14424 37TH AVE APT 6L, FLUSHING, NY 11354-5911
(718) 799-4518
(718) 799-4518
Mailing address
14424 37TH AVE APT 6L, FLUSHING, NY 11354-5911
(718) 799-4518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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