Elvita Genelus-Dominique, D.O, F.A.C.S, P.C

LBN: Elvita Genelus-Dominique, D.O, F.A.C.S, P.C
Elvita Genelus-Dominique, D.O, F.A.C.S, P.C is an health care organization with primary practice located at 5850 Catalpa Ave , Ridgewood NY 11385-5028. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Elvita Genelus-Dominique, D.O, F.A.C.S, P.C can be contacted via phone (718) 821-1910, or through Genelus-Dominique, Elvita via phone (516) 721-5168.

Contact Information

Primary practice address
5850 Catalpa Ave Ridgewood NY 11385-5028
Phone: (718) 821-1910
Fax: (718) 821-1125
Website:
Map and Directions
Authorized official contact:
Name: Genelus-Dominique, Elvita Doctor of Osteopathy (DO)
Phone: (516) 721-5168

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1912465980
LBN Legal business name Elvita Genelus-Dominique, D.O, F.A.C.S, P.C
DBA Doing business as
Authorized official Genelus-Dominique, Elvita Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2019
Last updated Mar 7th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912465980 NPPES
New York MEDICAID 03244057

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