Individual provider · Type 1 NPI

Jacquelyn Gentile

Pediatric Nurse Practitioner · New York, NY

NPI number 1659951176 Active

Practice location

1184 5th Ave
New York, NY 10029-6503

Call (212) 241-9500 Map

Mailing address

30 Gerald Ln
Old Bethpage, NY 11804-1112

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	F383203 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1659951176

Jacquelyn Gentile's National Provider Identifier is 1659951176, issued on Apr 9, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Apr 9, 2021.