Provider Demographics
NPI:1841951670
Name:VELOSO, ANA LUIZA OLIVEIRA (RD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LUIZA OLIVEIRA
Last Name:VELOSO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:L
Other - Last Name:VELOSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3265
Mailing Address - Country:US
Mailing Address - Phone:732-997-8488
Mailing Address - Fax:
Practice Address - Street 1:220 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7708
Practice Address - Country:US
Practice Address - Phone:929-483-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered