Individual
DR. NELSON JOSE DORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
49 SMITH AVE, MOUNT KISCO, NY 10549-2813
(917) 539-6424
Mailing address
49 SMITH AVE, MOUNT KISCO, NY 10549-2813
(917) 539-6424
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
013018
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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