Individual
MS. LORENE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
273 MEDEA WAY, CENTRAL ISLIP, NY 11722-4540
(917) 532-8267
Mailing address
273 MEDEA WAY, CENTRAL ISLIP, NY 11722-4540
(917) 532-8267
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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