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

Excelcium Med Group, PC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1902042815

Excelcium Med Group, PC is an Anatomic Pathology & Clinical Pathology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

435 Ft Washington Ave Ste 1C
New York, NY 10033-3527
Phone: (212) 923-0408
Fax: (212) 923-4032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 190663 (NY)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 190663 (NY)

Record details

NPI number1902042815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Goris — President · (212) 923-0408
NPI enumeratedDecember 23, 2008
Last updated in NPPESMarch 7, 2023
Mailing address435 Ft Washington Avenue, Suite 1c, New York, NY 10033-3527

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