Individual
EMMANUEL VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 E HOUSTON ST, NEW YORK, NY 10002-1034
(212) 535-8314
Mailing address
511 W 44TH ST APT 10D, NEW YORK, NY 10036-4172
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
722221-1
NY
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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