Individual
STEPHANIE LISETTE VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(845) 978-4829
Mailing address
69 ORCHARD HL, MIDDLETOWN, NY 10941-3209
(845) 978-4829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029222
NY
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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