Gennaro, Mark

Gennaro, Mark is an individual health care provider with primary practice located at 270 Pulaski Rd Ste B , Greenlawn NY 11740-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gennaro, Mark can be contacted via phone (631) 385-7258.

Contact Information

Primary practice address
270 Pulaski Rd Ste B Greenlawn NY 11740-1605
Phone: (631) 385-7258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 181519 New York

Profile Details

NPI number 1457467417
LBN Legal business name Gennaro, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 27th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457467417 NPPES
New York MEDICAID 01432686

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