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Individual

ELLIOT JAY NADELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
53 W 36TH ST STE 204A, NEW YORK, NY 10018-7903
(212) 727-2887
(646) 774-0936
Mailing address
53 W 36TH ST STE 204A, NEW YORK, NY 10018-7903
(212) 727-2887
(646) 774-0936

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
140064
NY
208D00000X
General Practice Physician
140064
NY
208D00000X
General Practice Physician
C145147
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00776747
NY
Enumeration date
08/05/2006
Last updated
11/22/2022
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