Individual
JOHN ALBERT NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15 JOYS LA., SUITE #2, KINGSTON, NY 12401
(845) 331-5064
Mailing address
14 KENT RD., RED HOOK, NY 12571
(845) 758-3968
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
491791
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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