Provider Demographics
NPI:1508128364
Name:VALBUENA-VELASQUEZ, OLGA L (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:L
Last Name:VALBUENA-VELASQUEZ
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 JUDITH LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3332
Mailing Address - Country:US
Mailing Address - Phone:347-576-5200
Mailing Address - Fax:
Practice Address - Street 1:125 JUDITH LN
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3332
Practice Address - Country:US
Practice Address - Phone:347-576-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist