MEDICARE: MNI MEDICAL SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	281777	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1275994766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MNI MEDICAL SERVICES, PLLC

Provider Business Mailing Address
First Line	:	244 MADISON AVE # 1100
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-2817
Country	:	US
Telephone Number	:	212-518-7874
Fax Number	:

Provider Business Practice Location Address
First Line	:	7899 TALAVERA PL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-4322
Country	:	US
Telephone Number	:	646-381-2141
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL NGUYEN
Credential	:	MD
Telephone Number	:	332-282-5622

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	06/03/2026

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