Individual
ANA VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
(718) 828-2666
Mailing address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323042
NY
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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