Jack Nelson, OMFS

NPI 1629166590 · on the registry since 2006

Practice

Address: 240 W Montauk Hwy
Hampton Bays, NY 11946
Phone: (631) 728-1300
Fax: (631) 728-5165
Organisation at this address: East End Oral Surgery
Prime Care Medical Of Long Island, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York