Gentile, Christopher

Gentile, Christopher is an sole proprietor health care provider with primary practice located at 21 W Merrick Rd , Freeport NY 11520-3826. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gentile, Christopher can be contacted via phone (516) 379-4041.

Contact Information

Primary practice address
21 W Merrick Rd Freeport NY 11520-3826
Fax: (516) 771-6794
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT004665 New York

Profile Details

NPI number 1235118134
LBN Legal business name Gentile, Christopher
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Jun 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235118134 NPPES
New York MEDICAID 00990794

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