Individual
SHERISE CORTEZ-VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
32 UNION SQ E, C/O WELLSPACE SUITE 411, NEW YORK, NY 10003-3209
(917) 753-0783
Mailing address
445 5TH AVE, 10B, NEW YORK, NY 10016-0133
(917) 753-0783
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
003964
NY
Other
Enumeration date
10/23/2007
Last updated
10/25/2013
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