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

Excelsior Empirehealth IPA, LLC

Organization Specialist · NPI 1932860541

Excelsior Empirehealth IPA, LLC is a Specialist in New York, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

94 Bowery
New York, NY 10013-4888
Phone: (212) 335-0320
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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
Specialist Taxonomy 174400000X
Family Medicine Physician Taxonomy 207Q00000X
Ophthalmology Physician Taxonomy 207W00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Podiatrist Taxonomy 213E00000X
Physical Therapist Taxonomy 225100000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1932860541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiki Wong — Credentialing Specialist · (718) 888-9579
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address94 Bowery, New York, NY 10013-4888

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