National Provider Identifier

Jason R Genova, LPN

Jason R Genova, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Castile, NY and a listed phone number of (585) 969-2184.

NPI 1225628779Castile, NYLicensed Practical Nurse

Profile Overview

NPI
1225628779
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 19, 2021
Last Updated
January 19, 2021

Practice Location

  • 53 S Main St
  • Castile, NY 14427-9607

Phone: (585) 969-2184

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1225628779
Entity Type
Individual
Last Name
Genova
First Name
Jason
Middle Name
R
Credential
LPN
Mailing Street Address
53 S Main St
Mailing City
Castile
Mailing State
NY
Mailing ZIP Code
14427-9607
Mailing Country
US
Mailing Phone
(585) 969-2184
Practice Street Address
53 S Main St
Practice City
Castile
Practice State
NY
Practice ZIP Code
14427-9607
Practice Country
US
Practice Phone
(585) 969-2184
Enumeration Date
January 19, 2021
Last Updated
January 19, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
January 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)