| Velazquez-montes,dds,pc | |
|
3745 75th St Basement Office Jackson Heights NY 11372-6425 | |
| (718) 898-6010 | |
| Not Available |
| Full Name | Velazquez-montes,dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3745 75th St, Jackson Heights, New York |
| Authorized Official Name and Position | Melvin R Velazquez (OWNER) |
| Authorized Official Contact | 7188986010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Velazquez-montes,dds,pc 3745 75th St Basement Office Jackson Heights NY 11372-6425 Ph: (718) 898-6010 | Velazquez-montes,dds,pc 3745 75th St Basement Office Jackson Heights NY 11372-6425 Ph: (718) 898-6010 |
| NPI Number | 1912168006 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912168006 | NPI | - | NPPES |
| 01485987 | Medicaid | NY | |
| 01458286 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045312 (New York) | Primary |
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