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Khadeja Nelson
NPI 1437746864 · on the registry since 2020 · sole proprietor
Practice
- Address
- 11642 171st St
Jamaica, NY 11434 - Phone
- (917) 690-4457
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-31
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