Individual
YEVGENIY GENCHANOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
(845) 231-5600
(845) 278-2219
Mailing address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
(845) 231-5600
(845) 278-2219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303273
NY
207RP1001X
Pulmonary Disease Physician
Primary
303273
NY
Other
Enumeration date
03/21/2017
Last updated
07/03/2024
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