Genelus-Dominique, Elvita
Genelus-Dominique, Elvita is an individual health care provider with primary practice located at 21 Reade Pl Ste 3100 , Poughkeepsie NY 12601. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Genelus-Dominique, Elvita can be contacted via phone (845) 214-1800.Contact Information
Primary practice address
21 Reade Pl Ste 3100
Poughkeepsie NY 12601
Phone: (845) 214-1800
Fax: (845) 214-1818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 253246 | New York |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 253246 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 253246 | New York |
Profile Details
| NPI number | 1639317472 |
|---|---|
| LBN Legal business name | Genelus-Dominique, Elvita |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2009 |
| Last updated | Oct 25th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639317472 | NPPES |
| New York | MEDICAID | 03244057 |
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