Individual
RYAN C NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6780
(585) 341-8489
Mailing address
601 ELMWOOD AVE, BOX 679 B, ROCHESTER, NY 14642-0001
(585) 341-6780
(585) 341-8489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248598
NY
207RC0000X
Cardiovascular Disease Physician
Primary
248598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03351315
—
NY
Enumeration date
08/31/2006
Last updated
07/06/2023
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