National Provider Identifier

Dallas Lee Nelson, M.D.

Dallas Lee Nelson, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 341-0255.

NPI 1598718314Rochester, NYInternal Medicine Physician

Profile Overview

NPI
1598718314
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
May 19, 2006
Last Updated
July 05, 2023

Practice Location

  • 1000 South Ave
  • Box 58
  • Rochester, NY 14620-2733

Phone: (585) 341-0255

Mailing Address

  • 76 Benton St
  • Rochester, NY 14620-2323

Specialties

  • Internal Medicine Physician (207R00000X)
  • Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Full Record
NPI
1598718314
Entity Type
Individual
Last Name
Nelson
First Name
Dallas
Middle Name
Lee
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
76 Benton St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-2323
Mailing Country
US
Mailing Phone
(585) 242-9399
Practice Street Address
1000 South Ave
Practice Address Line 2
Box 58
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2733
Practice Country
US
Practice Phone
(585) 341-0255
Enumeration Date
May 19, 2006
Last Updated
July 05, 2023
Sex
Female
Sole Proprietor
No
Taxonomies
Internal Medicine Physician (207R00000X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Other Identifiers
P010223415 (NY, Blue Choice), 1391568J (NY, Preferred Care), P020223415 (NY, Blue Shield), 025343361 (NY)