Individual
MR. RODERICK CARLTON NELSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO/OWNER
Contact information
Practice address
250 MILL STREET, FIRST FOOR, ROCHESTER, NY 14614
(585) 805-6213
(585) 805-6214
Mailing address
250 MILL STREET, FIRST FOOR, ROCHESTER, NY 14614
(585) 805-6213
(585) 805-6213
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
NONE
NY
Enumeration date
01/07/2020
Last updated
01/07/2020
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