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Organization

MARK GENNARO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICTORIA BETZ RVT (PRACTICE ADMINISTRATOR)
(631) 385-7258
Entity
Organization

Contact information

Practice address
270 PULASKI RD STE B, GREENLAWN, NY 11740-1605
(631) 385-7258
(877) 787-4680
Mailing address
270 PULASKI RD STE B, GREENLAWN, NY 11740-1605
(631) 385-7258
(877) 787-4680

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
04/17/2007
Last updated
12/12/2019
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