Individual
GEORGE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2771 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10039-3027
(212) 690-0303
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
325221
NY
Other
Enumeration date
04/02/2020
Last updated
08/30/2023
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