Michael Nichols, Pc | |
74-16 58th Ave Middle Village NY 11379 | |
(718) 639-7876 | |
Not Available |
Full Name | Michael Nichols, Pc |
---|---|
Speciality | Internal Medicine |
Location | 74-16 58th Ave, Middle Village, New York |
Authorized Official Name and Position | Michael Nichols (DIRECTOR) |
Authorized Official Contact | 7186397876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael Nichols, Pc 74-16 58th Ave Middle Village NY 11379 Ph: (718) 639-7876 | Michael Nichols, Pc 74-16 58th Ave Middle Village NY 11379 Ph: (718) 639-7876 |
NPI Number | 1346333929 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346333929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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