Provider Demographics
NPI:1053579995
Name:GENES, NICHOLAS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:GENES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUSTAVE L LEVY PL # 1620
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:164 E 88TH ST
Practice Address - Street 2:APT 4 F.E.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2234
Practice Address - Country:US
Practice Address - Phone:508-887-6838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245719207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine