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

Gennadi Josovich

Individual provider Specialist · NPI 1114274776

Gennadi Josovich is a Specialist in Merrick, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

2068 Berkley Ln
Merrick, NY 11566-5514
Phone: (917) 642-0644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 249441031 (NY)

Record details

NPI number1114274776
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2012
Last updated in NPPESAugust 13, 2012
Mailing address2068 Berkley Ln, Merrick, NY 11566-5514

Other providers in Merrick