Genewick, Tiffany Boquard

Genewick, Tiffany Boquard is an sole proprietor health care provider with primary practice located at 4731 Transit Rd Suite 1, Lancaster NY 14043-4884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Genewick, Tiffany Boquard can be contacted via phone (716) 668-1902.

Contact Information

Primary practice address
4731 Transit Rd Suite 1 Lancaster NY 14043-4884
Phone: (716) 668-1902
Fax: (716) 668-1919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 206982 New York

Profile Details

NPI number 1144278664
LBN Legal business name Genewick, Tiffany Boquard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Sep 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144278664 NPPES
New York Other BA0463 MEDICARE GROUP
New York MEDICAID 02089605 MEDICARE GROUP

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