| 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 | 
|---|---|
| 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 | 
|---|---|
| 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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