NPI 1003343435

New Genesis

Organisation Clinic/Center Bronx, NY

Practice location

Address: 3485 E Tremont Ave Fl 2, Bronx, NY 10465-2016
Phone: (718) 828-1549
Fax: (516) 303-0968
Mailing address: 11728 225th St, Cambria Hts, NY 11411-1706

Authorised official

Name: James Lynch
Title: President
Phone: (347) 623-1163

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Registry record

NPI: 1003343435
Entity type: Organization
NPI issued: 16 May 2017
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.