Individual
JOHN MARTIN NELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3010 WESTCHESTER AVE, SUITE 104, PURCHASE, NY 10577-2535
(914) 967-8708
(914) 967-5834
Mailing address
3010 WESTCHESTER AVE, SUITE 104, PURCHASE, NY 10577-2535
(914) 967-8708
(914) 967-5834
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
150073
NY
207X00000X
Orthopaedic Surgery Physician
28357
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
150073
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
28357
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00970338
—
NY
Enumeration date
10/10/2006
Last updated
09/03/2013
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