Gentry, Maria K.

Gentry, Maria K. is an individual health care provider with primary practice located at 200 Pleasant Grove Rd Suite # 6, Ithaca NY 14850-2664. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Gentry, Maria K. can be contacted via phone (607) 257-0900.

Contact Information

Primary practice address
200 Pleasant Grove Rd Suite # 6 Ithaca NY 14850-2664
Phone: (607) 257-0900
Fax: (607) 257-0997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3811 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 240467 New York
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 240467 New York

Profile Details

NPI number 1649242942
LBN Legal business name Gentry, Maria K.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 7th, 2011 - about 13 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 1649242942 NPPES
Arizona MEDICAID 856784
Arizona Other AZ0755700
Arizona MEDICAID 02853212

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