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MR. THERESA LAUREN GENTILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
136 83RD ST, BROOKLYN, NY 11209-4310
(212) 920-7843
Mailing address
136 83RD ST, BROOKLYN, NY 11209-4310
(212) 920-7843

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
941637
NY

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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