National Provider Identifier
Mark Genco, DO
Mark Genco, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Amherst, NY and a listed phone number of (716) 832-6207.
Profile Overview
- NPI
- 1285980110
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 30, 2012
- Last Updated
- March 06, 2024
Practice Location
- 3488 Sheridan Dr
- Amherst, NY 14226-1545
Phone: (716) 832-6207
Mailing Address
- 3434 Hancock Bridge Pkwy Ste 301
- North Fort Myers, FL 33903-7099
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1285980110
- Entity Type
- Individual
- Last Name
- Genco
- First Name
- Mark
- Credential
- DO
- Mailing Street Address
- 3434 Hancock Bridge Pkwy Ste 301
- Mailing City
- North Fort Myers
- Mailing State
- FL
- Mailing ZIP Code
- 33903-7099
- Mailing Country
- US
- Mailing Phone
- (877) 856-3774
- Mailing Fax
- (239) 599-2612
- Practice Street Address
- 3488 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1545
- Practice Country
- US
- Practice Phone
- (716) 832-6207
- Practice Fax
- (716) 832-3282
- Enumeration Date
- July 30, 2012
- Last Updated
- March 06, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- March 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)