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NPI Code Detail

MEDICARE: MICHELLE CHERRY TOLENTINO

MEDICARE: MICHELLE CHERRY 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
1225100000XPhysical Therapist030737-1NY

General Provider Information

NPI Number : 1689817157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CHERRY TOLENTINO
Provider Business Mailing Address
First Line : 3304 WATERBURY AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-1554
Country : US
Telephone Number : 718-931-3000
Fax Number : 718-514-8228
Provider Business Practice Location Address
First Line : 3304 WATERBURY AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-1554
Country : US
Telephone Number : 718-931-3000
Fax Number : 718-514-8228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2009
Last Update Date : 04/14/2009

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Directions to “ MICHELLE CHERRY TOLENTINO ” Practice Location

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