Individual
DR. MICHAEL GENTILESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 ROUTE 25A STE 207, SMITHTOWN, NY 11787-1448
(631) 862-3800
Mailing address
900 MERCHANTS CONCOURSE STE 216, WESTBURY, NY 11590-5114
(516) 226-8373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
148824
NY
207VG0400X
Gynecology Physician
148824
NY
207VX0000X
Obstetrics Physician
148824
NY
Other
Enumeration date
08/30/2006
Last updated
12/03/2019
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