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Organization

GENTRY NURSE PRACTITIONER IN FAMILY HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNIE GENTRY JR. (OWNER)
(315) 767-3717
Entity
Organization

Contact information

Practice address
968 DEER TRAIL RD S, KING FERRY, NY 13081-8712
(315) 767-3717
Mailing address
968 DEER TRAIL RD S, KING FERRY, NY 13081-8712

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
04/23/2025
Last updated
04/05/2026
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