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

Excella Medicine PC

Organization Nephrology Physician · NPI 1417204736

Excella Medicine PC is a Nephrology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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 10034-3122
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

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

Record details

NPI number1417204736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Perez — Medical Doctor · (212) 544-9513
NPI enumeratedAugust 6, 2012
Last updated in NPPESAugust 6, 2012
Mailing address4915 Broadway Suite 1g, New York, NY 10034-3122

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