Provider Demographics
NPI:1851583959
Name:VELEZ-PEREZ, SUZANNE LYNN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:LYNN
Last Name:VELEZ-PEREZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2634
Mailing Address - Country:US
Mailing Address - Phone:718-518-8892
Mailing Address - Fax:718-931-5530
Practice Address - Street 1:700 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2634
Practice Address - Country:US
Practice Address - Phone:718-518-8892
Practice Address - Fax:718-931-5530
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003658-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist