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Organization
JACKSON HEIGHTS MEDICAL CENTER
Active
Organization
JACKSON HEIGHTS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL NICOLEAU M.D. (OWNER)
(718) 565-2949
Entity
Organization
Contact information
Practice address
7535 31ST AVE, SUITE 200, EAST ELMHURST, NY 11370-1857
(718) 565-2949
Mailing address
7535 31ST AVE, SUITE 200, EAST ELMHURST, NY 11370-1857
(718) 565-2949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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