| Peter Genco | |
|
5203 Main St South Fallsburg NY 12779-5422 | |
| (845) 434-1202 | |
| Not Available |
| Full Name | Peter Genco |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5203 Main St, South Fallsburg, New York |
| Authorized Official Name and Position | Peter A Genco (DMD) |
| Authorized Official Contact | 8454341202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Genco 5203 Main St South Fallsburg NY 12779-5422 Ph: (845) 434-1202 | Peter Genco 5203 Main St South Fallsburg NY 12779-5422 Ph: (845) 434-1202 |
| NPI Number | 1942703251 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942703251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 049937-1 (New York) | Primary |
Family Dentistry Of Sullivan County, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5085 South Fallsburg Main St., South Fallsburg, NY 12779 Phone: 845-434-8444 Fax: 845-434-8440 |