JODI M GENTILI


Address: 301 Vanderbilt Ave, Apt 2, Brooklyn, NY 11205-3604
Phone: 4017142182

JODI M GENTILI (NPI# 1588044697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588044697
Entity Type Organization
Organization Name JODI M GENTILI
Practice Address 301 Vanderbilt Ave
Apt 2
Brooklyn
NY 11205-3604
Practice Telephone 4017142182
Practice Fax Number 2122230198
Mailing Telephone 4017142182
Mailing Fax Number 2122230198
Enumeration Date 2015-06-03
Last Update Date 2015-06-03
Authorized Official Name JODI M GENTILI (PRESIDENT)
Authorized Official Telephone 4017142182
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
005539 NY Ambulatory Health Care Facilities

Office Location

Street Address 301 VANDERBILT AVE
APT 2
City BROOKLYN
State NY
Zip Code 11205-3604

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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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