Jackson Heights Medical Center

NPI #1194137109 in East Elmhurst, New York

Provider Information

NPI Number: 1194137109
Entity Type: Organization
Organization Name: Jackson Heights Medical Center
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2014
Last Updated: May 24, 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
Phone: (718) 565-2949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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