Individual
JOHN CARLETON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 2100, HAWTHORNE, NY 10532-2140
(914) 493-8375
(914) 347-1832
Mailing address
PO BOX 69, HAWTHORNE, NY 10532-0069
(914) 493-8375
(914) 347-1832
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
128109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00420677
—
NY
Enumeration date
04/08/2006
Last updated
07/08/2007
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