Nelson, Dallas Lee

Nelson, Dallas Lee is an individual health care provider with primary practice located at 1000 South Ave Box 58, Rochester NY 14620-2733. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Nelson, Dallas Lee can be contacted via phone (585) 341-0255.

Contact Information

Primary practice address
1000 South Ave Box 58 Rochester NY 14620-2733
Phone: (585) 341-0255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223415 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 223415 New York

Profile Details

NPI number 1598718314
LBN Legal business name Nelson, Dallas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598718314 NPPES
New York Other P010223415 BLUE CHOICE
New York Other 1391568J BLUE CHOICE
New York Other P020223415 BLUE CHOICE
New York MEDICAID 025343361 BLUE CHOICE

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