Organization · Type 2 NPI

Elvita Genelus-Dominique, D.o, F.a.c.s, P.c

Surgery Physician · Ridgewood, NY

NPI number 1912465980 Active

Practice location

5850 Catalpa Ave
Ridgewood, NY 11385-5028

Fax (718) 821-1125

Mailing address

628 Lenore Ln
Elmont, NY 11003-4526

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

About NPI 1912465980

Elvita Genelus-Dominique, D.o, F.a.c.s, P.c's National Provider Identifier is 1912465980, issued on Mar 7, 2019. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Ridgewood, NY. The record was last updated on Mar 7, 2019.