Individual
MIRIAM VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
517 6TH ST, BROOKLYN, NY 11215-3608
(718) 496-2284
Mailing address
180 DEAN ST, BROOKLYN, NY 11217-2212
(718) 496-2284
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012446
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02358721
—
NY
Enumeration date
03/24/2006
Last updated
11/30/2007
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