Gennaoui, Nicolas
Gennaoui, Nicolas is an sole proprietor health care provider with primary practice located at 2 Perlman Dr , Spring Valley NY 10977-5245. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gennaoui, Nicolas can be contacted via phone (845) 352-4895.Contact Information
Primary practice address
2 Perlman Dr
Spring Valley NY 10977-5245
Phone: (845) 352-4895
Fax: (845) 352-4133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 119467 | New York |
| Other Service Providers / Specialist | 174400000X | 25MA06954500 | New Jersey |
Profile Details
| NPI number | 1851407514 |
|---|---|
| LBN Legal business name | Gennaoui, Nicolas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1851407514 | NPPES |
| New Jersey | MEDICAID | 055203 | |
| New Jersey | MEDICAID | 00224093 |
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