Individual
DR. PETER KIM NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-6008
(212) 263-0405
Mailing address
7211 AUSTIN ST, PMB#151, FOREST HILLS, NY 11375-5354
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
190775
NY
2085R0202X
Diagnostic Radiology Physician
190775
NY
Other
Enumeration date
04/24/2006
Last updated
03/08/2021
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