Provider Demographics
NPI:1518128057
Name:VELEZ, DIANA GIL (MS, LCAT, ATR-BC)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:GIL
Last Name:VELEZ
Suffix:
Gender:F
Credentials:MS, LCAT, ATR-BC
Other - Prefix:MISS
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:GIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCAT, ATR-BC
Mailing Address - Street 1:40 W 13TH ST
Mailing Address - Street 2:ATTN: NPAP/TRCC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7940
Mailing Address - Country:US
Mailing Address - Phone:347-669-3820
Mailing Address - Fax:
Practice Address - Street 1:40 W 13TH ST
Practice Address - Street 2:ATTN: NPAP/TRCC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7940
Practice Address - Country:US
Practice Address - Phone:347-669-3820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001391221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist