Individual
DR. EDGAR MANUEL VELAZQUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 MADISON STREET, NEW YORK, NY 10002
(212) 238-7384
(212) 238-7399
Mailing address
227 MADISON STREET, GOUVERNEUR HEALTHCARE SERVICES, NEW YORK, NY 10002
(212) 238-7384
(212) 238-7399
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
179619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522090
—
NY
Enumeration date
04/26/2006
Last updated
07/08/2007
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