National Provider Identifier
Genel Gronkowski, PHD
Genel Gronkowski, PHD is listed in the NPPES registry with a primary specialty of Counseling Psychologist in Ithaca, NY and a listed phone number of (607) 255-5155.
Profile Overview
- NPI
- 1023812088
- Provider Type
- Individual
- Primary Specialty
- Counseling Psychologist
- Enumeration Date
- April 01, 2025
- Last Updated
- April 01, 2025
Practice Location
- 110 Ho Plz
- Ithaca, NY 14853-3102
Phone: (607) 255-5155
Specialties
- Counseling Psychologist (103TC1900X)
Full Record
- NPI
- 1023812088
- Entity Type
- Individual
- Last Name
- Gronkowski
- First Name
- Genel
- Credential
- PHD
- Mailing Street Address
- 110 Ho Plz
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-3102
- Mailing Country
- US
- Mailing Phone
- (607) 255-5155
- Practice Street Address
- 110 Ho Plz
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-3102
- Practice Country
- US
- Practice Phone
- (607) 255-5155
- Enumeration Date
- April 01, 2025
- Last Updated
- April 01, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counseling Psychologist (103TC1900X)