Organization
MANUEL VELAZQUEZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL VELAZQUEZ (SOLE PROPRIETOR)
(718) 302-1800
Entity
Organization
Contact information
Practice address
250 E HOUSTON ST, NEW YORK, NY 10002-1034
(212) 353-8314
Mailing address
200 E 61ST ST, APT 5G, NEW YORK, NY 10021-8550
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
178765
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191482
—
NY
Enumeration date
11/15/2006
Last updated
04/02/2008
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