MR. MARK PHILIP VELAZQUEZ NPI 1851437560

NPI Details

MR. Mark Philip Velazquez is a local education agency lea in Medford, NY. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. MR. Mark Philip Velazquez NPI is 1851437560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11 ORMAND AVE
MEDFORD, NY
ZIP 11763-412
Phone: (631) 834-1208

The enumeration date for this NPI number is 1/29/2007 and was last updated on 3/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: