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Individual

MS. ALEXANDRA GENTILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7000 AUSTIN STREET, SUITE 200, FOREST HILLS, NY 11375
(718) 762-7633
Mailing address
30 GERALD LANE, OLD BETHPAGE, NY 11804
(516) 263-3013

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/05/2015
Last updated
05/05/2015
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