Individual provider · NPI-1

Dr. Gerald Ente, M.D.

Pediatrics, Adolescent Medicine · Mineola, NY

NPI number1184713638
StatusActive
Last updated in NPPESJul 29, 2013

Details

NPI
1184713638
Entity type
Individual (NPI-1)
Name
Dr. Gerald Ente
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 12, 2006
Last updated
Jul 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine078228NYYes
208000000X Pediatrics078228NY

Practice location

344 1st St
Mineola, NY 11501-3733

Phone 516-873-3683 · Fax 516-873-3684

Mailing address

344 1st St
Mineola, NY 11501-3733

Phone 516-873-3683 · Fax 516-873-3684

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