Individual
JONAS ALLAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT197461
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
282375-1
NY
Other
Enumeration date
05/14/2010
Last updated
03/15/2019
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