Organization
INTERGRATED PAIN DIAGNOSTICS AND REHABILITATION SPECIALISTS
Active
Parent organization
JACKSON HEIGHTS MEDICAL CARE PC
Other names
Jackson Heights Medical Care PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HEIGHTS MEDICAL CARE PC
Authorized official
DR. CARL NICOLEAU M.D. (OWNER/PRESIDENT)
(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
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NY
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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