Organization · Type 2 NPI

Excelsior Integrated Medical Group, PLLC

Specialist · New York, NY

NPI number 1689009854 Active

Practice location

217 Grand St, Suite 401
New York, NY 10013-4396

Call (212) 390-1830 Map

Fax (212) 390-8177

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X203601 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1689009854

Excelsior Integrated Medical Group, PLLC's National Provider Identifier is 1689009854, issued on Sep 6, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Feb 3, 2016.