Individual
NICOLE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-2022
Mailing address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/27/2025
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