Queens Village Primary Medical Care, Pllc

LBN: Queens Village Primary Medical Care, Pllc
Queens Village Primary Medical Care, Pllc is an health care organization with primary practice located at 9204 Springfield Blvd , Queens Village NY 11428-1857. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Queens Village Primary Medical Care, Pllc can be contacted via phone (718) 465-3040, or through Nicoleau, Aryel via phone (718) 465-3040.

Contact Information

Primary practice address
9204 Springfield Blvd Queens Village NY 11428-1857
Phone: (718) 465-3040
Fax: (718) 464-9063
Website:
Map and Directions
Authorized official contact:
Name: Nicoleau, Aryel Doctor of Medicine (MD)
Phone: (718) 465-3040

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 141741 New York

Profile Details

NPI number 1164614590
LBN Legal business name Queens Village Primary Medical Care, Pllc
DBA Doing business as
Authorized official Nicoleau, Aryel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2007
Last updated Feb 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164614590 NPPES
New York MEDICAID 00587146

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