Individual
CLARIBEL VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GLENMORE AVE, CENTRAL ISLIP, NY 11722-1936
(631) 431-0999
Mailing address
480 GLENMORE AVE, CENTRAL ISLIP, NY 11722-1936
(631) 431-0999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
763116
NY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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