Individual
KEITH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
58 BROADWAY, GREENLAWN, NY 11740-1303
(631) 754-1666
(631) 754-1676
Mailing address
58 BROADWAY, GREENLAWN, NY 11740-1303
(631) 754-1666
(631) 754-1676
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
X2809
NY
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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