Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 267033 | NY |
N | 208200000X | Surgeon | 267033 | NY |
N | 208600000X | Surgeon | 267033 | NY |
N | 2086S0102X | Surgical Critical Care | 267033 | NY |
Y | 2086S0127X | Trauma Surgeon | 267033 | NY |
NPI | 1457550030 |
---|---|
Provider Name | Dr. Catherine S Nelson |
First Address | Rochester, NY 14642-8410 |
Second Address | Rochester, NY 14642-8410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 24/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03500070 | (05) | NY |