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Individual

DR. GERALD ENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
344 1ST ST, MINEOLA, NY 11501-3733
(516) 873-3683
(516) 873-3684
Mailing address
344 1ST ST, MINEOLA, NY 11501-3733
(516) 873-3683
(516) 873-3684

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
078228
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
078228
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000030152240
FIDELIS
NY
01
000233940101
HEALTHPLUS
NY
05
00108383
NY
01
0580321013
SIGNA
NY
01
078228
HIP
NY
01
078228B27
HEALTHFIRST
NY
01
100015359
AFFINITY
NY
01
11300
VYTRA
NY
01
12981301
UNITED HEALTHCARE
NY
01
141951
EMPIRE BCBS
NY
01
15949P
HIP PRISS#
NY
01
20041
USHEALTH
NY
01
20760204
PHCS
NY
01
2696188
GHI
NY
01
3C4748
HEALTHNET/ACS
NY
01
4094489
US HEALTH PPO
NY
01
6B2281
EMPIRE
NY
01
AA50714A
MDNY
NY
01
AP107
OXFORD
NY
Enumeration date
10/12/2006
Last updated
07/29/2013
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