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Individual

MR. VICTORIO R TOLENTINO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC, FNP-BC

Contact information

Practice address
726 BROADWAY, NEW YORK UNIVERSITY STUDENT HEALTH CENTER, NEW YORK, NY 10003
(212) 998-4780
Mailing address
726 BROADWAY, NEW YORK UNIVERSITY STUDENT HEALTH CENTER, NEW YORK, NY 10003
(212) 998-4780

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
337007
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401687
NY

Other

Enumeration date
08/16/2011
Last updated
09/04/2014
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