IndividualActive
Gerardo Tolentino, M.D.
NPI 1861434946 · Neurodevelopmental Disabilities Physician · Port Jefferson Station, NY
Provider details
- NPI number
- 1861434946
- Entity type
- Individual
- Primary specialty
- Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 206084 (NY)
Practice location
5 Medical Dr
Port Jefferson Station, NY 11776-1595
Phone: (631) 632-3785
Mailing address
Po Box 1559
Stony Brook, NY 11790-0989
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.