Provider Demographics
NPI:1013373307
Name:VELEZ, YOMAIRA PHAIS (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:YOMAIRA
Middle Name:PHAIS
Last Name:VELEZ
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6622 FLEET ST APT GM
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4165
Mailing Address - Country:US
Mailing Address - Phone:347-279-3622
Mailing Address - Fax:
Practice Address - Street 1:6622 FLEET ST APT GM
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4165
Practice Address - Country:US
Practice Address - Phone:347-279-3622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-03
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY635245163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse