Individual provider · Type 1 NPI

Michael Genco, D. C.

Chiropractor · Forest Hills, NY

NPI number 1104919034 Active

Practice location

11045 Queens Blvd, Suite Aa
Forest Hills, NY 11375-5501

Fax (718) 544-0430

Mailing address

110 45 Queens Blvd, Suite Aa
Forest Hills, NY 11375-7432

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC2322 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1104919034

Michael Genco, D. C.'s National Provider Identifier is 1104919034, issued on Oct 2, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Forest Hills, NY. The record was last updated on Jan 25, 2008.