Organization
MARK GENNARO MD PC
Active
Organization
MARK GENNARO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BETZ BS,RVT (PRACTICE MANAGER)
(631) 385-7258
Entity
Organization
Contact information
Practice address
270 PULASKI RD, GREENLAWN, NY 11740-1605
(631) 385-7258
Mailing address
270 PULASKI RD, GREENLAWN, NY 11740-1605
(631) 385-7258
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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