Basic Information
Provider Information
NPI: 1003310681
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VELEY
FirstName: BRITTANY
MiddleName: RAE
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5130 E MAIN STREET RD STE 2
Address2:  
City: BATAVIA
State: NY
PostalCode: 140203444
CountryCode: US
TelephoneNumber: 5853441421
FaxNumber: 5853453080
Practice Location
Address1: 5130 E MAIN STREET RD STE 2
Address2:  
City: BATAVIA
State: NY
PostalCode: 140203444
CountryCode: US
TelephoneNumber: 5853441421
FaxNumber: 5853453080
Other Information
ProviderEnumerationDate: 03/20/2018
LastUpdateDate: 03/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X659321NYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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