Individual
CHARMAINE V GENTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
300 COMMUNITY DRIVE, MANHASSET, NY 11030
(516) 562-4852
Mailing address
122 HAMILTON RD, HEMPSTEAD, NY 11550-4637
(516) 562-4852
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2006003540
NY
Other
Enumeration date
10/05/2006
Last updated
09/01/2020
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