MR. Mark Philip Velazquez

NPI #1851437560 in Medford, New York

Provider Information

NPI Number
1851437560
Entity Type
Individual
Name
MR. Mark Philip Velazquez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Jan 29, 2007
Last Updated
Mar 9, 2020

Practice Location

Address
11 ORMAND AVE
ZIP Code
11763-4412
Phone
(631) 834-1208

Specialties & Taxonomy Codes

Specialty
Specialist
Local Education Agency (LEA)

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Provider Name
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