Nelson, Shirley

Nelson, Shirley is an sole proprietor health care provider with primary practice located at 55 Old Nyack Tpke Ste 507 , Nanuet NY 10954-2453. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Nelson, Shirley can be contacted via phone (845) 352-2899.

Contact Information

Primary practice address
55 Old Nyack Tpke Ste 507 Nanuet NY 10954-2453
Phone: (845) 352-2899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200298 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200298 New York

Profile Details

NPI number 1871654897
LBN Legal business name Nelson, Shirley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Dec 11th, 2018 - about 6 years ago

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 1871654897 NPPES
New York MEDICAID 1073992285

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