| 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 | () | Primary |
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