Individual
JANICE M GENNOCRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3950 E ROBINSON RD STE 109, AMHERST, NY 14228-2042
(716) 629-3338
(716) 304-6571
Mailing address
6941 WILLIAMS RD, NIAGARA FALLS, NY 14304-3022
(716) 629-3338
(716) 304-6571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F347137-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F347137-01
LICENSE NUMBER
—
Enumeration date
04/05/2021
Last updated
10/20/2021
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