Individual
AMY GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 SUGAR MAPLE LN, GLEN COVE, NY 11542-1632
(917) 754-9650
Mailing address
76 SUGAR MAPLE LN, GLEN COVE, NY 11542-1632
(917) 754-9650
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
05/09/2025
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