Organization
LOUIS B. GENNARELLI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS B GENNARELLI MD (PHYSICIAN)
(718) 823-3666
Entity
Organization
Contact information
Practice address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(718) 823-3666
(718) 823-3666
Mailing address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(718) 823-3666
(718) 823-3666
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
109297
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001938023
—
NY
Enumeration date
10/07/2006
Last updated
05/12/2008
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