Individual
ANA MARIA VELASTEGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11020 73RD RD STE 1L, FOREST HILLS, NY 11375-6351
(718) 793-0800
(718) 793-0841
Mailing address
25 W MAPLE ST, VALLEY STREAM, NY 11580-4510
(347) 256-6033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06324201
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
10/31/2023
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