Individual provider · Type 1 NPI

Richard Gentry, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1285853366 Active

Practice location

535 E 70th St
New York, NY 10021-4872

Mailing address

172 W 77th St, 5A
New York, NY 10024-6943

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X011787 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1285853366

Richard Gentry, PA-C's National Provider Identifier is 1285853366, issued on Apr 25, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Apr 2, 2021.