Individual
DR. FREDERIC IAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1229 BROADWAY, SUITE 201, HEWLETT, NY 11557-2014
(516) 295-0148
(516) 295-7228
Mailing address
1229 BROADWAY, SUITE 201, HEWLETT, NY 11557-2014
(516) 295-0148
(516) 295-7228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034487
NY
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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