MEDICARE: GENESIS TOLENTINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1043143803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENESIS TOLENTINO

Provider Business Mailing Address
First Line	:	14356 ROOSEVELT AVE APT 3A
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-6128
Country	:	US
Telephone Number	:	917-806-0743
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 BERGEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4010
Country	:	US
Telephone Number	:	347-486-1527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

Similar Medicare Providers

1497687586 — VICTOR SAMUEL STANTON
Practice Location Address:

521 BERGEN AVE
BRONX, NY
10455-4010

Practice Phone: 914-364-8967
Practice Fax: 718-742-7321

1952272981 — ASHLEIGH MARIE HEYDER
Practice Location Address:

521 BERGEN AVE
BRONX, NY
10455-4010

Practice Phone: 908-868-9811
Practice Fax: 908-868-9811

1437012705 — BRIANNA SUAREZ
Practice Location Address:

521 BERGEN AVE
BRONX, NY
10455-4010

Practice Phone: 917-439-7973
Practice Fax:

1760337026 — VERONICA V OCASIO
Practice Location Address:

521 BERGEN AVE
BRONX, NY
10455-4010

Practice Phone: 929-549-1780
Practice Fax:

1740379833 — ANGELA BLAIR NP
Practice Location Address:

886 WESTCHESTER AVE
BRONX, NY
10459-4010

Practice Phone: 718-585-5544
Practice Fax:

1588745905 — DR. KELLY S RAMSEY MD
Practice Location Address:

886 WESTCHESTER AVE
BRONX, NY
10459-4010

Practice Phone: 718-585-5544
Practice Fax: 718-585-8314

Directions to “ GENESIS TOLENTINO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.