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Alberto Nicandro Velasco

Specialist

Other Service Providers

234 E 149th St, Dept. Of Anesthesiology, 2b1, Bronx, NY 10451-5504

PECOS Enrollment

This provider is enrolled in PECOS as ALBERTO VELASCO.

Based on the most recent information from CMS, provider Alberto Nicandro Velasco is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1710051909
Provider Type
Individual
Full Name
Velasco, Alberto Nicandro
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/20/2006
Last Updated
7/3/2023

Contact Information

Practice Location

234 E 149th St, Dept. Of Anesthesiology, 2b1, Bronx, NY 10451-5504

(718) 579-5717

(718) 579-5027

Mailing Location

120 Hardwood Dr, Tappan, NY 10983-1100

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 166344-1 New York
Code 174400000X	Description Specialist Other Service Providers	License 166344 New York

Alberto Nicandro Velasco

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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