Individual
JAMES NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 TECHNOLOGY DR, SUITE 2, EAST SETAUKET, NY 11733-4080
(631) 444-0650
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
213529
NY
2080P0202X
Pediatric Cardiology Physician
Primary
213529-1
NY
Other
Enumeration date
03/27/2006
Last updated
08/19/2022
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