Tolentino, Corazon

Tolentino, Corazon is an individual health care provider with primary practice located at 11218 Springfield Blvd , Queens Village NY 11429-2650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tolentino, Corazon can be contacted via phone (718) 479-6600.

Contact Information

Primary practice address
11218 Springfield Blvd Queens Village NY 11429-2650
Phone: (718) 479-6600
Fax: (718) 217-3546
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 111621 New York

Profile Details

NPI number 1053347575
LBN Legal business name Tolentino, Corazon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053347575 NPPES
New York MEDICAID 00786503

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