Individual
MR. ERNEST NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
17 N PLANK RD STE 10, NEWBURGH, NY 12550-2111
(845) 800-1470
(844) 800-1470
Mailing address
1132 VINCENT AVE, BRONX, NY 10465-1421
(917) 705-7160
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
08842-1
NY
Other
Enumeration date
12/20/2017
Last updated
06/16/2018
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