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Contact Information

THERESA M GENOVESE ELLIOTT, MD
4801 BECKNER RD LEVEL 1 POD 2
STE 1650
SANTA FE, NM87507-0000
 Phone: 505-772-2000
 Fax: 505-983-5202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for THERESA M GENOVESE ELLIOTT · (Female)

NPI Number 1801830179
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2006
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 99-206
  • NM License # 99206
Hospital affiliation(s)
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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