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Contact Information

LISA GENOVA, MS
888 STAFFORD AVENUE
STATEN ISLAND, NY10309
 Phone: 347-907-9688
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LISA GENOVA · (Female)

NPI Number 1306100953
Status Active
Credentials MS
Entity Individual
Enumeration date 06/28/2012
Last updated 06/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 569374111
Hospital affiliation(s) Not Available
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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