Organization
CNN DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL A NICOLEAU MD, PHD (MEDICAL DIRECTOR)
(718) 344-5293
Entity
Organization
Contact information
Practice address
8710 NORTHERN BLVD FL 2, JACKSON HEIGHTS, NY 11372-1641
(347) 771-5099
(877) 796-4457
Mailing address
28 WINCHESTER DR, GLEN HEAD, NY 11545-3203
(347) 771-5099
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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