Most Relevant Information
Provider Data
| NPI Number: | 1003232372 |
| Provider Name: | VANESSA THERESA GENOVA RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2014 |
| Last Updated: | 03/11/2014 |
Provider Practice Location
1342 76TH STREET
BROOKLYN
NY
11228
Practice Location Phone/Fax
| Phone: | 6467347277 |
| Fax: |
Provider Mailing Location
1342 76TH STREET
BROOKLYN
NY
11228
Provider Mailing Phone/Fax
| Phone: | 6467347277 |
| Fax: |