National Provider Identifier
Gennaro Marc Polverino, MD
Gennaro Marc Polverino, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 922-0151.
Profile Overview
- NPI
- 1427145184
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 06, 2006
- Last Updated
- January 13, 2025
Practice Location
- 30 Hagen Dr Ste 300
- Rochester, NY 14625-2658
Phone: (585) 922-0151
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Medicine Physician (207Q00000X)
- Emergency Medicine Physician (207P00000X)
Endpoints
- gennaro.polverino@rochesterregional.org
Direct Messaging Address | Newark, NY 14513
Full Record
- NPI
- 1427145184
- Entity Type
- Individual
- Last Name
- Polverino
- First Name
- Gennaro
- Middle Name
- Marc
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 368-3531
- Mailing Fax
- (585) 368-3747
- Practice Street Address
- 30 Hagen Dr Ste 300
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-2658
- Practice Country
- US
- Practice Phone
- (585) 922-0151
- Enumeration Date
- October 06, 2006
- Last Updated
- January 13, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 13, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 03941513 (NY)