Organization
ELECTROPHYSIOLOGIC MEDICAL DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINA S NELSON M.D. (PRESIDENT)
(914) 907-5846
Entity
Organization
Contact information
Practice address
146 ALEXANDER AVE, HARTSDALE, NY 10530-1802
(914) 907-5846
Mailing address
146 ALEXANDER AVE, HARTSDALE, NY 10530-1802
(914) 907-5846
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
198383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02842813
—
NY
Enumeration date
10/14/2011
Last updated
10/14/2011
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