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

Excella Medicine PC

Organization Internal Medicine Physician · NPI 1174812812

Excella Medicine PC is an Internal Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

4915 Broadway Ste 1G
New York, NY 10034-3119
Phone: (212) 544-9513
Fax: (212) 544-0402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 170543 (NY)
Nephrology Physician Taxonomy 207RN0300X · Licence 170543 (NY)

Record details

NPI number1174812812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Perez — Md · (212) 544-9513
NPI enumeratedApril 4, 2011
Last updated in NPPESApril 4, 2011
Mailing address4915 Broadway, Suite 1g, New York, NY 10034-3119

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