Individual
LISA MARIE GENNARINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3415 BAINBRIDGE AVE, ROSENTHAL 303, BRONX, NY 10467-2403
(718) 741-2460
Mailing address
1675 YORK AVE, APT 3F, NEW YORK, NY 10128-6752
(516) 695-0729
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
261668-1
NY
Other
Enumeration date
04/25/2008
Last updated
03/22/2017
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