Individual
DR. GENARO J TAVERAS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
048917
Contact information
Practice address
2002 GRAND AVE, BRONX, NY 10453-4662
(718) 299-1340
(718) 299-2760
Mailing address
2002 GRAND AV., BRONX, NY 10453-4662
(718) 299-1340
(718) 299-2760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02152812
—
NY
Enumeration date
09/26/2007
Last updated
09/26/2007
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