Individual
JESSICA VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11 CRUM ELBOW RD, HYDE PARK, NY 12538-2852
(845) 229-1020
Mailing address
11 CRUM ELBOW RD, HYDE PARK, NY 12538-2852
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308625-1
NY
Other
Enumeration date
07/11/2018
Last updated
12/01/2021
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