Individual
DR. DEENA JACOBETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
635 MADISON AVE, FL 8, NEW YORK, NY 10022-1009
(212) 857-4670
(212) 752-3390
Mailing address
635 MADISON AVE, FL 8, NEW YORK, NY 10022-1009
(212) 857-4670
(212) 752-3390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
135173
NY
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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