Provider Demographics
NPI:1316489776
Name:MCENTEE, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MCENTEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 FOREST DR
Mailing Address - Street 2:APT H
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-2115
Mailing Address - Country:US
Mailing Address - Phone:845-362-1255
Mailing Address - Fax:
Practice Address - Street 1:46 FOREST DR
Practice Address - Street 2:APT H
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-2115
Practice Address - Country:US
Practice Address - Phone:845-362-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program