Gentile, Mario
Gentile, Mario is an sole proprietor health care provider with primary practice located at 31 Sherman St Suite 1400, Jamestown NY 14701-7079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gentile, Mario can be contacted via phone (716) 665-4656.Contact Information
Primary practice address
31 Sherman St Suite 1400
Jamestown NY 14701-7079
Phone: (716) 665-4656
Fax: (716) 665-4664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 168027 | New York |
Profile Details
| NPI number | 1013016815 |
|---|---|
| LBN Legal business name | Gentile, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jan 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013016815 | NPPES |
| New York | MEDICAID | 01084748 |
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