Organization
MARIO N GENOVESE DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO N GENOVESE DPM (OWNER)
(718) 748-7474
Entity
Organization
Contact information
Practice address
9602 4TH AVE, APT. L1, BROOKLYN, NY 11209-3439
(718) 748-7474
(718) 748-7474
Mailing address
7715 4TH AVE, BROOKLYN, NY 11209-3439
(718) 748-7474
(718) 748-7474
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01008846
—
NY
Enumeration date
01/21/2008
Last updated
05/12/2025
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