Healthcare Provider Details

I. General information

NPI: 1336469709
Provider Name (Legal Business Name): MARIELENA VELEZ DE BROWN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIELENA VELEZ MD

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WESTFALL RD RM 950
ROCHESTER NY
14620-4647
US

IV. Provider business mailing address

111 WESTFALL RD RM 950
ROCHESTER NY
14620-4647
US

V. Phone/Fax

Practice location:
  • Phone: 585-753-5327
  • Fax: 585-753-5115
Mailing address:
  • Phone: 585-753-5327
  • Fax: 585-753-5115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number277680
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: