Individual
AGUSTIN CARLOS VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
358 WADSWORTH AVE APT 41, NEW YORK, NY 10040-3155
(917) 553-7913
Mailing address
358 WADSWORTH AVE APT 41, NEW YORK, NY 10040-3155
(917) 553-7913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
061068011
NY
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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