Individual
DONNIE GENTRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
200 PLEASANT GROVE RD STE 200A, ITHACA, NY 14850-2697
(607) 299-5929
(607) 228-8534
Mailing address
200 PLEASANT GROVE RD STE 200A, ITHACA, NY 14850-2697
(607) 299-5929
(607) 228-8534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
340871
NY
363LF0000X
Family Nurse Practitioner
Primary
340871
NY
Other
Enumeration date
07/12/2016
Last updated
04/05/2026
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