Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Philip Velazquez

Individual provider Specialist · NPI 1851437560

Mr. Mark Philip Velazquez is a Specialist in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

11 Ormand Ave
Medford, NY 11763-4412
Phone: (631) 834-1208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Local Education Agency (LEA) (primary) Taxonomy 251300000X (NY)
Specialist Taxonomy 174400000X

Record details

NPI number1851437560
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

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