Provider Demographics
NPI:1902466170
Name:GENOA, BARI (PA)
Entity type:Individual
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First Name:BARI
Middle Name:
Last Name:GENOA
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Gender:F
Credentials:PA
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Mailing Address - Street 1:258 SAINT NICHOLAS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5351
Mailing Address - Country:US
Mailing Address - Phone:212-222-0075
Mailing Address - Fax:646-829-9230
Practice Address - Street 1:258 SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5351
Practice Address - Country:US
Practice Address - Phone:212-222-0075
Practice Address - Fax:646-829-9230
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2021-06-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant