Provider Demographics
NPI:1699774703
Name:GENOVESE, JOSEPH FRANK (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANK
Last Name:GENOVESE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5505
Mailing Address - Country:US
Mailing Address - Phone:516-504-0800
Mailing Address - Fax:516-504-0824
Practice Address - Street 1:295 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5505
Practice Address - Country:US
Practice Address - Phone:516-504-0800
Practice Address - Fax:516-504-0824
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178303207RS0012X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY36J093OtherEMPIRE BC/BS
NY01517353Medicaid
NY03839OtherGHI MEDICARE
NY01517353Medicaid
NYF71698Medicare UPIN