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NPI Code Detail

MEDICARE: MIRIAM VELEZ PHD

MEDICARE:   MIRIAM  VELEZ  PHD
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
1103T00000XPsychologist012446NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275593329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM VELEZ PHD
Provider Business Mailing Address
First Line : 180 DEAN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2212
Country : US
Telephone Number : 718-496-2284
Fax Number :
Provider Business Practice Location Address
First Line : 517 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3608
Country : US
Telephone Number : 718-496-2284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/30/2007

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Directions to “ MIRIAM VELEZ PHD” Practice Location

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