Individual
DR. DMITRY KONSTANTINOVICH NESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 YORK AVE APT 1A, NEW YORK, NY 10021-3150
(212) 289-2571
(212) 289-2579
Mailing address
21 LEATHERSTOCKING LN, MAMARONECK, NY 10543-1115
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
220676
NY
Other
Enumeration date
01/13/2007
Last updated
04/29/2008
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