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Individual

BETTY VELEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21 RED PINE RD, MEDFORD, NY 11763
(631) 475-1634
Mailing address
21 RED PINE RD, MEDFORD, NY 11763
(631) 475-1634

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/18/2016
Last updated
02/18/2016
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