Nelson, Robert Bruce

Nelson, Robert Bruce is an individual health care provider with primary practice located at 1500 Jericho Tpke , Westbury NY 11590-1045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nelson, Robert Bruce can be contacted via phone (516) 877-2400.

Contact Information

Primary practice address
1500 Jericho Tpke Westbury NY 11590-1045
Phone: (516) 877-2400
Fax: (516) 877-1897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000777 New York

Profile Details

NPI number 1477637890
LBN Legal business name Nelson, Robert Bruce
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 17th, 2019 - about 7 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 1477637890 NPPES
New York MEDICAID 01564227

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