Individual
DR. ANTHONY GENTILE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 WESTCHESTER HALL, STONY BROOK, NY 11794-0001
(631) 444-2557
Mailing address
151 WESTCHESTER HALL, STONY BROOK, NY 11794-0001
(631) 444-2557
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74462306
OXFORD UNITED HEALTHCARE
NY
Enumeration date
03/11/2019
Last updated
03/11/2019
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