Individual
MARILYN JEANNETTE COLON-VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-6825
Mailing address
23 PARADISE TRL, MONROE, NY 10950-6648
(407) 480-6488
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
028609
PR
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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