Individual provider · Type 1 NPI

Gennadi Josovich

Specialist · Merrick, NY

NPI number 1114274776 Active

Practice location

2068 Berkley Ln
Merrick, NY 11566-5514

Call (917) 642-0644 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X249441031 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114274776

Gennadi Josovich's National Provider Identifier is 1114274776, issued on Aug 13, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Merrick, NY. The record was last updated on Aug 13, 2012.