Organization
GENADIJ SIENKIEWICZ MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENADIJ SIENKIEWICZ M. D. (PRESIDENT)
(607) 727-1019
Entity
Organization
Contact information
Practice address
507 MAIN ST, JOHNSON CITY, NY 13790-1810
(607) 727-1019
Mailing address
3117 KNAPP RD, VESTAL, NY 13850-3038
(607) 727-1019
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00685727
—
NY
05
—
01956463
—
NY
Enumeration date
10/01/2007
Last updated
10/01/2007
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