Provider Demographics
NPI:1356955066
Name:GENIUS GOLD INVESTMENTS LLC
Entity type:Organization
Organization Name:GENIUS GOLD INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSEILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-499-4112
Mailing Address - Street 1:41 W PROSPECT ST UNIT 308
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1653
Mailing Address - Country:US
Mailing Address - Phone:845-499-4112
Mailing Address - Fax:
Practice Address - Street 1:41 W PROSPECT ST UNIT 308
Practice Address - Street 2:
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1653
Practice Address - Country:US
Practice Address - Phone:845-499-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty