Individual
ANNALISA TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18603 UNION TPKE, FRESH MEADOWS, NY 11366-1733
(929) 264-6778
Mailing address
5645 MAIN STREET, FLUSHING, NY 11355
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006463
NY
Other
Enumeration date
03/09/2015
Last updated
02/12/2025
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