Individual provider · Type 1 NPI

Charleny Genoval

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

NPI number 1700599412 Active

Practice location

146 Pike St
Port Jervis, NY 12771-1808

Mailing address

30 Harriman Dr
Goshen, NY 10924-2410

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 1700599412

Charleny Genoval's National Provider Identifier is 1700599412, issued on Dec 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jervis, NY. The record was last updated on Dec 28, 2022.