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NPI Code Detail

MEDICARE: MISS CHELSEA RAE VELOVICH FNP-C, CNM

MEDICARE: MISS CHELSEA RAE VELOVICH FNP-C, CNM
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
1363LF0000XFamily Nurse Practitioner343248NY

General Provider Information

NPI Number : 1720574650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHELSEA RAE VELOVICH FNP-C, CNM
Provider Business Mailing Address
First Line : 2257 ADAM CLAYTON POWELL JR BLVD
Second Line :
City : NEW YORK
State : NY
Zip : 10027-7979
Country : US
Telephone Number : 212-281-5252
Fax Number :
Provider Business Practice Location Address
First Line : 2257 ADAM CLAYTON POWELL JR BLVD
Second Line :
City : NEW YORK
State : NY
Zip : 10027-7979
Country : US
Telephone Number : 212-281-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2018
Last Update Date : 07/03/2018

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