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Individual

ARYEL NICOLEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9204 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY 11428
(718) 465-3040
(718) 464-9063
Mailing address
9204 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY 11428
(718) 465-3040
(718) 464-9063

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
141741
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00587146
NY
Enumeration date
11/22/2006
Last updated
02/05/2015
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