Velazquez, Melvin R
Velazquez, Melvin R is an individual health care provider with primary practice located at 6907 43Rd Ave Suitec1, Woodside NY 11377-9100. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Velazquez, Melvin R can be contacted via phone (718) 898-6010.Contact Information
Primary practice address
6907 43Rd Ave Suitec1
Woodside NY 11377-9100
Phone: (718) 898-6010
Fax: (718) 606-2713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 04513 | New York |
Profile Details
| NPI number | 1336290402 |
|---|---|
| LBN Legal business name | Velazquez, Melvin R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Oct 23rd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336290402 | NPPES |
| New York | MEDICAID | 01485987 |
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