Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Excelsior Integrated Medical Group, PLLC

Organization Specialist · NPI 1881053775

Excelsior Integrated Medical Group, PLLC is a Specialist in Brooklyn, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

758 61st St
Brooklyn, NY 11220-4212
Phone: (718) 522-1118
Fax: (212) 335-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 94 Bowery, New York, NY 10013-4888 — (212) 335-0328

Specialties & licences

Mammography Clinic/Center (primary) Taxonomy 261QR0206X
Specialist Taxonomy 174400000X · Licence 250205 (NY)
Specialist Taxonomy 174400000X · Licence 228377 (NY)

Record details

NPI number1881053775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Hall — President · (212) 335-0328
Other names Healthier Imaging & Lab, Inc; Healthier Imaging & Lab, Inc
NPI enumeratedFebruary 19, 2016
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing address94 Bowery, New York, NY 10013-4888

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