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Dr. Gerardo Tolentino, MD
Neurodevelopmental Disabilities Physician Physician in Port Jefferson Station, New York
NPI 1861434946

Gerardo Tolentino is a Neurodevelopmental Disabilities Physician Physician based in Stony Brook, NY and is specialized in Neurodevelopmental Disabilities. Gerardo Tolentino practices in Port Jefferson Station, NY and has the professional credentials of MD. The NPI Number for Gerardo Tolentino is 1861434946 and holds a License No. 206084 (New York).

The current practice location address for Gerardo Tolentino is 5 Medical Dr, Port Jefferson Station, NY and can be reached out via phone at 631-632-3785.

Location: 5 Medical Dr, Port Jefferson Station, NY, 11790-0989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861434946
Provider Name
Gerardo Tolentino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5 Medical Dr, Port Jefferson Station, NY, 11790-0989
Phone Number
631-632-3785
Fax Number
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01805774 05 NY
5080569 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
5 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776-1595
Phone Number
631-632-3785
Fax Number
person
Provider Business Mailing Address Details
Address
5 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776-1595
Phone Number
631-632-3785
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurodevelopmental Disabilities
Taxonomy
2084P0005X
License No.
206084 (New York)
Definition
A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.
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