Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 258848 | NY |
N | 2084N0600X | Clinical Neurophysiologist | 258848 | NY |
NPI | 1497950109 |
---|---|
Provider Name | Dr. Aaron Lane Alexander Nelson |
First Address | New York, NY 10016-9196 |
Second Address | New York, NY 10016-9196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 22/08/2013 |