Organization
RONALD CONCETTO GENTILE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD CONCETTO GENTILE M.D. (PRESIDENT)
(212) 979-4120
Entity
Organization
Contact information
Practice address
218 SECOND AVENUE, SUITE 402 SOUTH, NEW YORK, NY 10003-4201
(212) 979-4120
(646) 290-8008
Mailing address
27 SEA CREST DR, LLOYD HARBOR, NY 11743-9765
(212) 979-4120
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
189544
NY
Other
Enumeration date
05/10/2017
Last updated
09/28/2018
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