# MARIO NELSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669632188
- **Authorized official:** DR. MARIO NELSON M.D. (PRESIDENT)
- **Authorized official phone:** (845) 365-2881

## Contact information

- **Practice address:** 265 N MAIN ST, SUITE C, SPRING VALLEY, NY 10977-3702
- **Practice address phone:** (845) 365-2881
- **Practice address fax:** (845) 290-6977
- **Mailing address:** 265 N MAIN ST, SUITE C, SPRING VALLEY, NY 10977-3702
- **Mailing address phone:** (845) 365-2881
- **Mailing address fax:** (845) 290-6977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | BN0226375 | NY | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008