Provider Demographics
NPI:1306804836
Name:GENOVESE, FRANK LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LOUIS
Last Name:GENOVESE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:600 MCCLELLAN ST
Mailing Address - Street 2:2 WEST
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 NOTT ST
Practice Address - Street 2:B6
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2425
Practice Address - Country:US
Practice Address - Phone:518-243-3387
Practice Address - Fax:518-831-8100
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2012-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1848861207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01236979Medicaid
F89440Medicare UPIN
NY01236979Medicaid