DR. DYLAN GENOUW MD
NPI 1629862545
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 07, 2025

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Dylan Genouw Md NPPES

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

DR. DYLAN GENOUW MD (NPI 1629862545) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1629862545

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. DYLAN GENOUWCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address12 E Springfield StBoston, MA 02118-3384 · (248) 804-9184

Phone(718) 920-4321

Sole ProprietorYes

Enumeration DateApril 7, 2025

NPPES CertifiedApril 7, 2025

✔ NPI 1629862545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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