Organization
ROBERT L. CRISTOFARO, MD AND JOHN M NELSON, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS CRISTOFARO M.D. (PRESIDENT)
(914) 967-8708
Entity
Organization
Contact information
Practice address
3010 WESTCHESTER AVE, SUITE 104, PURCHASE, NY 10577-2524
(914) 967-8708
(914) 967-5834
Mailing address
3010 WESTCHESTER AVE, SUITE 104, PURCHASE, NY 10577-2524
(914) 967-8708
(914) 967-5834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
112796
NY
174400000X
Specialist
150073
NY
207X00000X
Orthopaedic Surgery Physician
112796
NY
207X00000X
Orthopaedic Surgery Physician
Primary
150073
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
028357
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
028526
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
112796
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
150073
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347411
—
NY
05
—
00970338
—
NY
Enumeration date
02/07/2008
Last updated
09/03/2013
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