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Richard Genco
NPI 1699205369 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5203 Main St
South Fallsburg, NY 12779 - Phone
- (845) 434-1202
- Organisation at this address
- Peter Genco
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- NY, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York