Individual
JAMES NEALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-6395
Mailing address
217 OVINGTON AVE, BROOKLYN, NY 11209-1204
(718) 238-0098
(718) 836-6849
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009324 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009324 1
P.A. LICENSE
NY
Enumeration date
05/08/2007
Last updated
08/19/2022
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