De La Riva-Velasco, Elizabeth

De La Riva-Velasco, Elizabeth is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 1400, Hawthorne NY 10532-2140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. De La Riva-Velasco, Elizabeth can be contacted via phone (914) 493-7585.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 1400 Hawthorne NY 10532-2140
Fax: (914) 594-4336
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 243945 New York

Profile Details

NPI number 1275860611
LBN Legal business name De La Riva-Velasco, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2009
Last updated Jul 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275860611 NPPES
New York MEDICAID 03249832

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