Provider Demographics
NPI:1467036145
Name:VELASQUEZ, DANIELA ANGELICA
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:ANGELICA
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W 116TH ST APT 121
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7027
Mailing Address - Country:US
Mailing Address - Phone:646-683-8138
Mailing Address - Fax:
Practice Address - Street 1:4010 DYRE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2510
Practice Address - Country:US
Practice Address - Phone:718-515-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical