SearchNew York164W00000X

Geniese Theagene

NPI 1760232789 · on the registry since 2024

Practice

Address
80 Barr Ln # 80
Monroe, NY 10950
Phone
(845) 709-3672

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-25

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