Velazquez, Mark Philip

Velazquez, Mark Philip is an sole proprietor health care provider with primary practice located at 11 Ormand Ave , Medford NY 11763-4412. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Local Education Agency (LEA). Agencies / Local Education Agency (LEA) is his primary health care specialty. Velazquez, Mark Philip can be contacted via phone (631) 834-1208.

Contact Information

Primary practice address
11 Ormand Ave Medford NY 11763-4412
Phone: (631) 834-1208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Agencies / Local Education Agency (LEA) 251300000X New York

Profile Details

NPI number 1851437560
LBN Legal business name Velazquez, Mark Philip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Mar 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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