National Provider Identifier
Mario Gentile, MD
Mario Gentile, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Jamestown, NY and a listed phone number of (716) 665-4656.
Profile Overview
- NPI
- 1013016815
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- September 21, 2006
- Last Updated
- January 17, 2008
Practice Location
- 31 Sherman St
- Suite 1400
- Jamestown, NY 14701-7079
Phone: (716) 665-4656
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1013016815
- Entity Type
- Individual
- Last Name
- Gentile
- First Name
- Mario
- Credential
- MD
- Mailing Street Address
- 31 Sherman St
- Mailing Address Line 2
- Suite 1400
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-7079
- Mailing Country
- US
- Mailing Phone
- (716) 665-4656
- Mailing Fax
- (716) 665-4664
- Practice Street Address
- 31 Sherman St
- Practice Address Line 2
- Suite 1400
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-7079
- Practice Country
- US
- Practice Phone
- (716) 665-4656
- Practice Fax
- (716) 665-4664
- Enumeration Date
- September 21, 2006
- Last Updated
- January 17, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01084748 (NY)