Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana Gennaro, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1306030721

Diana Gennaro, PHYSICIANASSISTANT is a Physician Assistant in Bronx, New York. Qualified in 2007, 19 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-2985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011993 (NY)

Record details

NPI number1306030721
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 29, 2007
Last updated in NPPESJanuary 3, 2017
Mailing address75 Mountainside Dr, Chester, NY 10918-1419

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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