Individual provider · Type 1 NPI

Genesis Perez

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1417708199 Active

Practice location

1775 Grand Concourse
Bronx, NY 10453-8202

Call (718) 901-8400 Map

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417708199

Genesis Perez's National Provider Identifier is 1417708199, issued on Mar 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jun 14, 2025.