Individual
DR. JEFFREY GENSHAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4246 ALBANY POST RD, HYDE PARK, NY 12538-1700
(845) 229-9118
Mailing address
4246 ALBANY POST RD, HYDE PARK, NY 12538-1700
(845) 229-9118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003638-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00643949
—
NY
Enumeration date
06/16/2005
Last updated
10/06/2011
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