Individual
MR. MICHAEL GENTILE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3601 AVENUE T, BROOKLYN, NY 11234-4916
(718) 998-2533
(718) 376-9115
Mailing address
3601 AVENUE T, BROOKLYN, NY 11234-4916
(718) 998-2533
(718) 376-9115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005958
NY
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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