Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Queens Village Primary Medical Care, PLLC

Organization Primary Care Clinic/Center · NPI 1164614590

Queens Village Primary Medical Care, PLLC provides Primary Care Clinic/Center services in Queens Village, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9204 Springfield Blvd
Queens Village, NY 11428-1857
Phone: (718) 465-3040
Fax: (718) 464-9063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 141741 (NY)

Record details

NPI number1164614590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aryel Nicoleau — Medical Doctor · (718) 465-3040
NPI enumeratedAugust 9, 2007
Last updated in NPPESFebruary 1, 2017
Mailing address9204 Springfield Blvd, Queens Village, NY 11428-1857

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