PETER GENCO
NPI 1942703251
Clinic/Center - Dental in South Fallsburg, NY
Active since March 13, 2018
About Peter Genco NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER GENCO (NPI 1942703251) is a healthcare organization registered as a dental in South Fallsburg, New York and active in the NPI registry since March 2018. The organization lists Peter A Genco, Dmd, as its authorized official.
NPPES Registry Identity
NPI1942703251
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePETER GENCO
Location Address5203 MAIN STSouth Fallsburg, NY 12779-5422
Mailing Address5203 Main StSouth Fallsburg, NY 12779-5422 · (845) 434-1202
Phone(845) 434-1202
Organization SubpartNo
Authorized OfficialPeter A GencoDmd · (845) 434-1202
Enumeration DateMarch 13, 2018
✔ NPI 1942703251 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NY · 049937-1
5203 MAIN ST, South Fallsburg, NY 12779
Other Names 1
Doing Business AsPeter Genco
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942703251, enumerated as an "organization" on March 13, 2018.
The provider is located at 5203 MAIN ST SOUTH FALLSBURG, NY 12779 and the phone number is (845) 434-1202.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
