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Contact Information

MARK P VELAZQUEZ
11 ORMAND AVE
MEDFORD, NY11763-4412
 Phone: 631-834-1208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1851437560
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/29/2007
Last updated 03/09/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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