Excelsior Integrated Medical Group
Excelsior Integrated Medical Group is an Adult Health Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
217 Grand St Ste 401New York, NY 10013-4396
Phone: (212) 390-1830
Fax: (212) 390-8177
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 9389049 (NY) |
|---|
Record details
| NPI number | 1275081838 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Geogre Hall — President · (718) 938-3188 |
| NPI enumerated | September 13, 2016 |
| Last updated in NPPES | September 13, 2016 |
| Mailing address | 217 Grand St, Suite 401, New York, NY 10013-4396 |
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