EXCELSIOR INTEGRATED MEDICAL GROUP PLLC NPI 1689009854

NPI Information

EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC is a specialist in New York, NY. The provider is 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. EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC NPI is 1689009854. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

217 GRAND ST
SUITE 401
NEW YORK, NY
ZIP 10013-396
Phone: (212) 390-1830
Fax: (212) 390-8177

The provider's authorized official is George Hall .
The authorized official title is President and has the following contact phone number (212) 335-0328.

The enumeration date for this NPI number is 9/6/2013 and was last updated on 2/3/2016.

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:

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