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Individual

MRS. GINA VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24 CORNELL DR S, COMMACK, NY 11725
(917) 837-2174
Mailing address
24 CORNELL DR S, COMMACK, NY 11725
(917) 837-2174

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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