Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queens Village Primary Medical Care, PLLC

Organization Primary Care Clinic/Center · NPI 1164614590

Queens Village Primary Medical Care, PLLC is a Primary Care Clinic/Center 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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