Individual
CORAZON TOLENTINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11218 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2650
(718) 479-6600
(718) 217-3546
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
111621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00786503
—
NY
Enumeration date
06/25/2006
Last updated
07/08/2007
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