Individual provider · Type 1 NPI

Stephanie Genco

Specialist · Staten Island, NY

NPI number 1215410378 Active

Practice location

4024 Amboy Rd
Staten Island, NY 10308-2409

Mailing address

104 Glascoe Ave
Staten Island, NY 10314-2016

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1215410378

Stephanie Genco's National Provider Identifier is 1215410378, issued on Sep 13, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 13, 2018.