Individual
CIDMARIE VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
120 N MAIN ST STE 207, NEW CITY, NY 10956-3743
(845) 638-3072
Mailing address
78 COLLEGE AVE, NANUET, NY 10954-3013
(646) 620-3684
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
4025636
NY
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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