Provider Demographics
NPI:1982047395
Name:GENSER, KANE AARON (MD)
Entity Type:Individual
Prefix:
First Name:KANE
Middle Name:AARON
Last Name:GENSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 FORT HILL RD APT 413
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2280
Mailing Address - Country:US
Mailing Address - Phone:551-804-8370
Mailing Address - Fax:
Practice Address - Street 1:755 N BROADWAY STE 230
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1076
Practice Address - Country:US
Practice Address - Phone:914-366-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313319208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery