Individual
MATHEW JARED NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NSUH DEPT OF EMERGENCY MEDICINE, NSUH DEPT OF EMERGENCY MEDICINE 300 COMMUNITY DRIVE, MANHASSET, NY 11030
(516) 562-1406
Mailing address
NSUH DEPT OF EMERGENCY MEDICINE, NSUH DEPT OF EMERGENCY MEDICINE 300 COMMUNITY DRIVE, MANHASSET, NY 11030
(516) 562-1406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
226977
NY
2085U0001X
Diagnostic Ultrasound Physician
226977
NY
Other
Enumeration date
11/08/2006
Last updated
07/23/2008
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