Individual
NATHALIA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
25510 IOWA RD, LITTLE NECK, NY 11362-1425
(516) 946-7710
Mailing address
25510 IOWA RD, LITTLE NECK, NY 11362-1425
(516) 946-7710
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
023576-01
NY
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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