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Mark Velazquez

NPI 1851437560 · on the registry since 2007 · sole proprietor

Practice

Address
11 Ormand Ave
Medford, NY 11763
Phone
(631) 834-1208

Registry record

Primary taxonomy
251300000X
251300000X
Also registered as
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York