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Contact Information

SUSAN GENTILE
393 BROOK AVE
BAY SHORE, NY11706-5640
 Phone: 631-968-1220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN GENTILE · (Female)

NPI # 1427598523
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2017
Last updated 03/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 017609-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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