National Provider Identifier
Maria K. Gentry, D.O.
Maria K. Gentry, D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Ithaca, NY and a listed phone number of (607) 257-0900.
Profile Overview
- NPI
- 1649242942
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- February 02, 2006
- Last Updated
- July 07, 2011
Practice Location
- 200 Pleasant Grove RD
- Suite # 6
- Ithaca, NY 14850-2664
Phone: (607) 257-0900
Specialties
- Emergency Medicine Physician (207P00000X)
- Emergency Medicine Physician (207P00000X)
- Neuromusculoskeletal Medicine & OMM Physician (204D00000X)
Full Record
- NPI
- 1649242942
- Entity Type
- Individual
- Last Name
- Gentry
- First Name
- Maria
- Middle Name
- K.
- Credential
- D.O.
- Provider Other Last Name
- Budner-Gentry
- Provider Other First Name
- Maria
- Provider Other Middle Name
- K
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 200 Pleasant Grove RD
- Mailing Address Line 2
- Suite # 6
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2664
- Mailing Country
- US
- Mailing Phone
- (607) 257-0900
- Mailing Fax
- (607) 257-0997
- Practice Street Address
- 200 Pleasant Grove RD
- Practice Address Line 2
- Suite # 6
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2664
- Practice Country
- US
- Practice Phone
- (607) 257-0900
- Practice Fax
- (607) 257-0997
- Enumeration Date
- February 02, 2006
- Last Updated
- July 07, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X), Neuromusculoskeletal Medicine & OMM Physician (204D00000X)
- Other Identifiers
- 856784 (AZ), AZ0755700 (AZ, Bluecross Blueshield), 02853212 (NY)