Provider Demographics
NPI:1366862153
Name:GENOVA, NICHOLAS JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOSEPH
Last Name:GENOVA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:NEWYORK-PRESBYTERIAN WESTCHESTER DIVISION
Mailing Address - Street 2:21 BLOOMINGDALE RD
Mailing Address - City:WHITE PLANS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-997-4875
Mailing Address - Fax:914-997-5941
Practice Address - Street 1:NEWYORK-PRESBYTERIAN WESTCHESTER DIVISION
Practice Address - Street 2:21 BLOOMINGDALE RD
Practice Address - City:WHITE PLANS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-997-4875
Practice Address - Fax:914-997-5941
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2019-02-27
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Provider Licenses
StateLicense IDTaxonomies
NY2940652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry