# MANUEL VELAZQUEZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518039254
- **Authorized official:** MANUEL VELAZQUEZ (SOLE PROPRIETOR)
- **Authorized official phone:** (718) 302-1800

## Contact information

- **Practice address:** 250 E HOUSTON ST, NEW YORK, NY 10002-1034
- **Practice address phone:** (212) 353-8314
- **Mailing address:** 200 E 61ST ST, APT 5G, NEW YORK, NY 10021-8550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 178765 | NM | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 04/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01191482 | — | NY |