Organization
MICHAEL GENCO CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GENCO D. C. (PRESIDENT)
(718) 268-4464
Entity
Organization
Contact information
Practice address
11045 QUEENS BLVD, AA, FOREST HILLS, NY 11375-5501
(718) 268-4464
(718) 544-0430
Mailing address
11045 QUEENS BLVD, AA, FOREST HILLS, NY 11375-5501
(718) 268-4464
(718) 544-0430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0002322
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X2763
BLUE CROSS
NY
Enumeration date
12/11/2006
Last updated
01/25/2008
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