Queens Village Primary Medical Care, Pllc

NPI #1164614590 in Queens Village, New York

Provider Information

NPI Number: 1164614590
Entity Type: Organization
Organization Name: Queens Village Primary Medical Care, Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 9, 2007
Last Updated: Feb 1, 2017

Practice Location

Address: 9204 SPRINGFIELD BLVD
City: Queens Village
State: New York
ZIP Code: 11428-1857
Phone: (718) 465-3040

Authorized Official

Name: DR. ARYEL NICOLEAU, MD
Title: MEDICAL DOCTOR
Phone: (718) 465-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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