Individual
ROBERT JOHN TOLENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
11630 SUTPHIN BLVD, JAMAICA, NY 11434-1527
(718) 322-2500
(718) 322-1881
Mailing address
225 HUNTER AVE, STATEN ISLAND, NY 10306-3445
(646) 966-2636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34362
NY
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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