Individual
ALEXANDRA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 JUNCTION BLVD, CORONA, NY 11368-2121
(917) 996-3773
Mailing address
95 EASTERN PKWY APT 4A, BROOKLYN, NY 11238-5933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103599
NY
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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