Individual
MS. GLORIA MARIA CORA-VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
304 HOWE AVE, APT. 1, BRONX, NY 10473-1644
(718) 794-4507
(718) 794-4507
Mailing address
304 HOWE AVE., APT # 1, BRONX, NY 10473
(718) 794-4507
(718) 794-4507
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
O74020605
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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