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Individual

MARLON GENTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
Mailing address
2369 2ND AVE, NEW YORK, NY 10035-3108

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/29/2015
Last updated
04/29/2015
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