Provider Demographics
NPI:1851714851
Name:SAINTIL, GERTRUDE
Entity Type:Individual
Prefix:MS
First Name:GERTRUDE
Middle Name:
Last Name:SAINTIL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GERTRUDE
Other - Middle Name:
Other - Last Name:SAINTIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:94 N MAIN ST UNIT 305
Mailing Address - Street 2:P.O.BOX 1522
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-4988
Mailing Address - Country:US
Mailing Address - Phone:845-825-6307
Mailing Address - Fax:
Practice Address - Street 1:94 N MAIN ST UNIT 305
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-4988
Practice Address - Country:US
Practice Address - Phone:845-825-6307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314225-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse