| Shirley Nelson DO PC | |
|
55 Old Nyack Tpke Suite 507 Nanuet NY 10954-2461 | |
| (845) 352-2899 | |
| Not Available |
| Full Name | Shirley Nelson DO PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Old Nyack Tpke, Nanuet, New York |
| Authorized Official Name and Position | Shirley Nelson (DOCTOR) |
| Authorized Official Contact | 8453522899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Nelson DO PC 55 Old Nyack Tpke Suite 507 Nanuet NY 10954-2461 Ph: (845) 352-2899 | Shirley Nelson DO PC 55 Old Nyack Tpke Suite 507 Nanuet NY 10954-2461 Ph: (845) 352-2899 |
| NPI Number | 1073992285 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 4688963861 |
|---|---|
| Medicare Enrollment ID | O20160511000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073992285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 200298 (New York) | Primary |
| Provider Name | Shirley W Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871654897 PECOS PAC ID: 5890687156 Enrollment ID: I20040330000205 |
| Provider Name | Arshad K Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205342508 PECOS PAC ID: 9234470360 Enrollment ID: I20190417002712 |
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