Organization
JODI M GENTILI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI M GENTILI (PRESIDENT)
(401) 714-2182
Entity
Organization
Contact information
Practice address
301 VANDERBILT AVE, APT 2, BROOKLYN, NY 11205-3604
(401) 714-2182
(212) 223-0198
Mailing address
301 VANDERBILT AVE, APT 2, BROOKLYN, NY 11205-3604
(401) 714-2182
(212) 223-0198
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
005539
NY
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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