Individual
ELIZABETH GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2414 15TH ST, TROY, NY 12180-1701
(518) 271-1813
(518) 271-1931
Mailing address
2414 15TH ST, TROY, NY 12180-1701
(518) 271-1813
(518) 271-1931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342686
LICENSE
NY
Enumeration date
03/14/2018
Last updated
06/16/2018
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