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EXCELLA MEDICINE PC NPI 1174812812


NPI Information

NPI: 1174812812
Provider Name: EXCELLA MEDICINE PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4915 BROADWAY
SUITE 1G
NEW YORK, NY
ZIP 10034
Phone: (212) 544-9513
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EXCELLA MEDICINE PC is an internal medicine in New York, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EXCELLA MEDICINE PC NPI is 1174812812. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4915 BROADWAY
SUITE 1G
NEW YORK, NY
ZIP 10034-119
Phone: (212) 544-9513
Fax: (212) 544-0402

The provider's authorized official is Michael Perez .
The authorized official title is Md and has the following contact phone number (212) 544-9513.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 4/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology170543NEW YORKNo
2207R00000XInternal Medicine170543NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101196487MEDICAIDNEW YORK
2P00633190OTHERNEW YORKMEDICARE RAILROAD
3F03310MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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