Individual
SELENA VELEZ-LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 909-9018
(914) 909-9028
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010946
NY
363A00000X
Physician Assistant
PA9108623
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015011600
—
FL
05
—
02730096
—
NY
Enumeration date
11/21/2005
Last updated
09/03/2019
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