Provider Demographics
NPI:1508147539
Name:GENTILE-PINTO, KRISTEN J (MS ED)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:J
Last Name:GENTILE-PINTO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 71ST ST APT 4V
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4809
Mailing Address - Country:US
Mailing Address - Phone:646-831-5276
Mailing Address - Fax:
Practice Address - Street 1:400 E 71ST ST APT 4V
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4809
Practice Address - Country:US
Practice Address - Phone:646-831-5276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183751174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist