Individual
FERNANDO JOSE VELIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
304 TAYLOR AVE, LEVITTOWN, NY 11756-5608
(516) 776-4713
Mailing address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
(516) 228-1763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023472
NY
Other
Enumeration date
05/19/2019
Last updated
08/02/2024
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