MEDICARE: PRIYA D. VELU

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
1	207ZC0006X	Clinical Pathology Physician	2968958-1	NY
2	207ZC0006X	Clinical Pathology Physician	298958-01	NY

General Provider Information

NPI Number	:	1316366537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA D. VELU

Provider Business Mailing Address
First Line	:	525 E 68TH ST # F540
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-4870
Country	:	US
Telephone Number	:	858-531-7468
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E 68TH ST # F540
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-4870
Country	:	US
Telephone Number	:	858-531-7468
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	06/30/2023

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Directions to “ PRIYA D. VELU ” Practice Location

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