Individual
DAN JASON M VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6805 FRESH POND RD, RIDGEWOOD, NY 11385-5200
(718) 456-2545
(718) 559-6784
Mailing address
6805 FRESH POND RD, RIDGEWOOD, NY 11385-5200
(718) 456-2545
(718) 559-6784
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
029602
NY
225200000X
Physical Therapy Assistant
Primary
006942
NY
Other
Enumeration date
01/16/2008
Last updated
10/24/2014
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