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GENNADI JOSOVICH
NPI 1114274776
Specialist in Merrick, NY

Active since August 13, 2012
2068 BERKLEY LN, MERRICK, NY 11566(917) 642-0644 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gennadi Josovich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENNADI JOSOVICH (NPI 1114274776) is an individual specialist in Merrick, New York, licensed in New York (249441031) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1114274776
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGENNADI JOSOVICH
Location Address2068 BERKLEY LNMerrick, NY 11566-5514
Mailing Address2068 Berkley LnMerrick, NY 11566-5514 · (917) 642-0644
Phone(917) 642-0644
Sole ProprietorNo
Enumeration DateAugust 13, 2012
✔ NPI 1114274776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 249441031
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2068 BERKLEY LN, Merrick, NY 11566
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gennadi Josovich's NPI number?

The NPI number for Gennadi Josovich is 1114274776. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Gennadi Josovich located?

Gennadi Josovich practices at 2068 Berkley Ln, Merrick, NY 11566. The listed phone number is (917) 642-0644.

What is Gennadi Josovich's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gennadi Josovich was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.