Provider Demographics
NPI:1497950109
Name:NELSON, AARON LANE ALEXANDER (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:LANE ALEXANDER
Last Name:NELSON
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:H BUILDING 7TH FLOOR, ROOM 7W12C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-263-6348
Mailing Address - Fax:212-263-8228
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:H BUILDING 7TH FLOOR, ROOM 7W12C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-263-6348
Practice Address - Fax:212-263-8228
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2588482084N0402X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology