Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 078228 | NY |
Y | 2080A0000X | Adolescent Medicine | 078228 | NY |
NPI | 1184713638 |
---|---|
Provider Name | Dr. Gerald Ente |
First Address | Mineola, NY 11501-3733 |
Second Address | Mineola, NY 11501-3733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 29/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000030152240 | FIDELIS (01) | NY |
000233940101 | HEALTHPLUS (01) | NY |
00108383 | (05) | NY |
0580321013 | SIGNA (01) | NY |
078228 | HIP (01) | NY |
078228B27 | HEALTHFIRST (01) | NY |
100015359 | AFFINITY (01) | NY |
11300 | VYTRA (01) | NY |
12981301 | UNITED HEALTHCARE (01) | NY |
141951 | EMPIRE BCBS (01) | NY |
15949P | HIP PRISS# (01) | NY |
20041 | USHEALTH (01) | NY |
20760204 | PHCS (01) | NY |
2696188 | GHI (01) | NY |
3C4748 | HEALTHNET/ACS (01) | NY |
4094489 | US HEALTH PPO (01) | NY |
6B2281 | EMPIRE (01) | NY |
AA50714A | MDNY (01) | NY |
AP107 | OXFORD (01) | NY |
B03967 | (02) | NY |