National Provider Identifier

Jina Gentry

Jina Gentry is listed in the NPPES registry with a primary specialty of Specialist in Orchard Park, NY and a listed phone number of (716) 662-4800.

NPI 1093605123Orchard Park, NYSpecialist

Profile Overview

NPI
1093605123
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 09, 2025
Last Updated
August 12, 2025

Practice Location

  • 6167 W Quaker St
  • Orchard Park, NY 14127-2640

Phone: (716) 662-4800

Specialties

  • Specialist (174400000X)
Full Record
NPI
1093605123
Entity Type
Individual
Last Name
Gentry
First Name
Jina
Mailing Street Address
6167 W Quaker St
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2640
Mailing Country
US
Practice Street Address
6167 W Quaker St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2640
Practice Country
US
Practice Phone
(716) 662-4800
Enumeration Date
July 09, 2025
Last Updated
August 12, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)