Individual
MS. ELIZABETH VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, BOX 112, NEW YORK, NY 10065-6007
(212) 639-7071
Mailing address
542 E 79TH ST, APT 2H, NEW YORK, NY 10075-1567
(212) 535-0546
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
0044701
NY
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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