Individual
DR. JOHN D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
133 E 58TH ST, SUITE 403, NEW YORK, NY 10022-1236
(646) 812-0261
Mailing address
133 E 58TH ST, SUITE 403, NEW YORK, NY 10022-1236
(646) 812-0261
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
031343
NY
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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