MEDICARE: DONNIE GENTRY JR. FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	340871	NY
2	363L00000X	Nurse Practitioner	340871	NY

General Provider Information

NPI Number	:	1497107619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNIE GENTRY JR. FNP-C

Provider Business Mailing Address
First Line	:	200 PLEASANT GROVE RD STE 200A
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-2697
Country	:	US
Telephone Number	:	607-299-5929
Fax Number	:	607-228-8534

Provider Business Practice Location Address
First Line	:	200 PLEASANT GROVE RD STE 200A
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-2697
Country	:	US
Telephone Number	:	607-299-5929
Fax Number	:	607-228-8534

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	03/05/2026

Similar Medicare Providers

1730034901 — COLLEEN FUCIGNA
Practice Location Address:

953 DANBY RD
ITHACA, NY
14850-7002

Practice Phone: 607-274-3011
Practice Fax:

1457197683 — MRS. MICHELLE LYNN FULKERSON MHC
Practice Location Address:

201 E GREEN ST
ITHACA, NY
14850-5635

Practice Phone: 607-274-6200
Practice Fax:

1356090187 — SHAWN LEE DAVIS LCSW
Practice Location Address:

323 N TIOGA ST
ITHACA, NY
14850-4205

Practice Phone: 607-734-2548
Practice Fax: 607-442-1209

1205839933 — DR. CATHERINE JEAN CANNARIATO MD
Practice Location Address:

1780 HANSHAW RD
ITHACA, NY
14850-9105

Practice Phone: 607-257-5858
Practice Fax: 607-257-1718

1164424362 — MR. CHRISTOPHER L PECK P.A.
Practice Location Address:

1301 TRUMANSBURG RD , STE E
ITHACA, NY
14850-1397

Practice Phone: 607-273-3161
Practice Fax: 607-273-4979

1982606125 — DR. DAVID A SCHWED M.D.
Practice Location Address:

1301 TRUMANSBURG RD , STE E
ITHACA, NY
14850-1397

Practice Phone: 607-273-3161
Practice Fax: 607-273-4979

Directions to “ DONNIE GENTRY JR. FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.