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Dan Jason M Velez

Physical Therapy Assistant in Ridgewood, NY. Individual provider (NPI-1).

NPI number1316123771
StatusActive
Last updated in NPPESOct 24, 2014

Details

NPI
1316123771
Entity type
Individual (NPI-1)
Name
Dan Jason M Velez
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 16, 2008
Last updated
Oct 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant006942NYYes
171W00000X Contractor029602NY

Practice location

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200

Phone 718-456-2545 · Fax 718-559-6784

Mailing address

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200

Phone 718-456-2545 · Fax 718-559-6784

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Other Physical Therapy Assistant providers in Ridgewood, NY

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