Individual
SERGEY IGOREVICH GENKIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, MAIMONIDES HOSPITAL,, BROOKLYN, NY 11219-2844
(718) 283-6073
(718) 635-6417
Mailing address
35 SEACOAST TER, APT. 15 E, BROOKLYN, NY 11235-6040
(718) 891-7158
(718) 635-6417
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
222686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02280266
—
NY
01
—
1709660001
ELDERPLAN
NY
01
—
2593554
GHI
NY
01
—
3055694
AETNA HMO
NY
01
—
7210414
AETNA PPO
NY
01
—
P2671396
OXFORD
NY
Enumeration date
05/02/2006
Last updated
07/09/2007
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