Doctor Name: | JOSEPHINE VELAZQUEZ |
NPI Number: | 1114934874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | N004823 |
Business Practice Address: | 20 Old Kings Hwy S Darien, CT - 068204521 |
Business Phone Number: | 2036556299 |
Business Fax Number: | 2036562607 |
Mailing Address: | 20 Old Kings Hwy S, DARIEN |
State: | CT |
Postal Code: | 068204521 |
Phone Number: | 2036556299 |
Fax Number: | 2036562607 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | N004823 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |