Individual
DR. GENADIJ SIENKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 FRONT ST, VESTAL, NY 13850-1559
(607) 658-1003
(607) 658-1006
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
131991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00685727
—
NY
Enumeration date
06/03/2006
Last updated
11/19/2011
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