Genco, Richard
Genco, Richard is an sole proprietor health care provider with primary practice located at 5203 Main St , South Fallsburg NY 12779-5422. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Genco, Richard can be contacted via phone (845) 434-1202.Contact Information
Primary practice address
5203 Main St
South Fallsburg NY 12779-5422
Phone: (845) 434-1202
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 044387-1 | New York |
Dental Providers / General Practice | 1223G0001X | 044387-1 | Nebraska |
Profile Details
NPI number | 1699205369 |
---|---|
LBN Legal business name | Genco, Richard |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2017 |
Last updated | Jun 15th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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