Individual
MRS. DEURIA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT CCMA
Contact information
Practice address
89 KENSINGTON WAY, MIDDLETOWN, NY 10940-2133
(845) 423-9317
(877) 512-7911
Mailing address
89 KENSINGTON WAY, PO BOX 345, MIDDLETOWN, NY 10940-2133
(845) 423-9317
(877) 512-7911
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
M2C2R9G2
NY
376K00000X
Nurse's Aide
P9J3W8Z7
NY
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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