Intergrated Pain Diagnostics and Rehabilitation Specialists

NPI #1073925905 in East Elmhurst, New York

Provider Information

NPI Number: 1073925905
Entity Type: Organization
Organization Name: Intergrated Pain Diagnostics and Rehabilitation Specialists
Subpart: Yes (part of a larger organization)
Parent Organization: JACKSON HEIGHTS MEDICAL CARE PC
Primary Specialty: Internal Medicine - Sleep Medicine
Enumeration Date: May 27, 2014
Last Updated: May 27, 2014

Practice Location

Address: 7535 31ST AVE
Address 2: SUITE 200
City: East Elmhurst
State: New York
ZIP Code: 11370-1857
Phone: (718) 565-2949

Authorized Official

Name: DR. CARL NICOLEAU, M.D.
Title: OWNER/PRESIDENT
Phone: (718) 565-2949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Sleep Medicine — Sleep Medicine	207RS0012X	Primary

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