Individual
AVI GENACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 SUTIN PL, SPRING VALLEY, NY 10977-6427
(646) 413-5551
Mailing address
77 SUTIN PL, SPRING VALLEY, NY 10977-6427
(646) 413-5551
(646) 413-5551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017482-01
NY
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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