Individual
RICHARD GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1000
Mailing address
172 W 77TH ST, 5A, NEW YORK, NY 10024-6943
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011787
NY
Other
Enumeration date
04/25/2007
Last updated
04/02/2021
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