Individual
DR. JONATHAN LAWRENCE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 CEDAR ST, RYE, NY 10580-2031
(914) 251-9110
(914) 921-4877
Mailing address
33 CEDAR ST, SUITE 6, RYE, NY 10580-2031
(914) 251-9110
(914) 921-4877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
222467-2
NY
207N00000X
Dermatology Physician
Primary
222467
NY
Other
Enumeration date
07/27/2006
Last updated
04/03/2015
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