Individual ProviderMatthew GennaroSpecialistOther Service ProvidersPractice Address192 Tower Dr, Suite 400, Middletown, NY 10941-2056(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Gennaro does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1952665812Provider TypeIndividualFull NameGennaro, MatthewGenderMaleSole ProprietorNoEnumeration Date6/26/2012Last Updated6/29/2015Contact InformationPractice LocationPractice Address192 Tower Dr, Suite 400, Middletown, NY 10941-2056Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address75 Mountainside Dr, Chester, NY 10918-1419PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerNew York