NPI 1164614590

Queens Village Primary Medical Care, PLLC

Organisation Primary Care Clinic/Center Queens Village, NY

Practice location

Address: 9204 Springfield Blvd, Queens Village, NY 11428-1857
Phone: (718) 465-3040
Fax: (718) 464-9063

Authorised official

Name: Aryel Nicoleau
Title: Medical Doctor
Phone: (718) 465-3040

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 141741 (NY)

Other Clinic/Center providers in New York →

Registry record

NPI: 1164614590
Entity type: Organization
NPI issued: 9 Aug 2007
Record last updated: 1 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.