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NPI Code Detail

MEDICARE: XIOMARA KAVANAGHT-VELEZ

MEDICARE: XIOMARA KAVANAGHT-VELEZ
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 Worker

General Provider Information

NPI Number : 1710492533
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIOMARA KAVANAGHT-VELEZ
Provider Business Mailing Address
First Line : 51 LOCKMAN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1216 BAY ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3169
Country : US
Telephone Number : 718-390-5142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 01/04/2021

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Directions to “ XIOMARA KAVANAGHT-VELEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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