Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK PHILIP VELAZQUEZ
Active Sole ProprietorMR. MARK PHILIP VELAZQUEZ is a Local Education Agency healthcare provider located in MEDFORD, New York. NPI 1851437560 is currently active in the NPPES registry. Verify at CMS.
Local Education Agency · MEDFORD, NY
Registration Details
- NPI Number
- 1851437560
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.564394252799 yrs)
- Last Updated
- Mar 9, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 ORMAND AVEMEDFORD, NY, 117634412Browse NY providers · Browse ZIP 11763
- Phone
- 6318341208
- Primary Specialty
-
Local Education Agency
251300000X
- Additional Specialty
- Local Education Agency
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.