| NPI | 1255824777 |
|---|---|
| Doing Business As | GENESIS WELLNESS GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | JERRY GENESIS Chief Wellness Coordinator 718-316-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038095-1) |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2018-06-09 |