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NPI Code Detail

MEDICARE: MS. INEZ VELEZ LCSW

MEDICARE:  MS. INEZ  VELEZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker083083NY
21041C0700XClinical Social Worker097576NY

General Provider Information

NPI Number : 1255630950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. INEZ VELEZ LCSW
Provider Business Mailing Address
First Line : 2105 BURR AVE APT 4C
Second Line :
City : BRONX
State : NY
Zip : 10461-3736
Country : US
Telephone Number : 347-852-0988
Fax Number :
Provider Business Practice Location Address
First Line : 1300 WATERS PL
Second Line :
City : BRONX
State : NY
Zip : 10461-2714
Country : US
Telephone Number : 929-348-3769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2011
Last Update Date : 05/04/2024

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Directions to “ MS. INEZ VELEZ LCSW” Practice Location

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