Provider Demographics
NPI:1205830924
Name:GENECE, NADEIGE (MD)
Entity Type:Individual
Prefix:DR
First Name:NADEIGE
Middle Name:
Last Name:GENECE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NADEIGE
Other - Middle Name:
Other - Last Name:GENECE-SEKYIAMAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:301 E 17TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 E 17TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3804
Practice Address - Country:US
Practice Address - Phone:212-598-6412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07918600208000000X
NY227602208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0007365475OtherAETNA PPO/POS
NYP2917862OtherOXFORD
NY3262429OtherAETNA HMO
NY2696499OtherGHI
NY02422177Medicaid