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Excelsior Integrated Medical Group, Pllc
Mammography Clinic/Center in Brooklyn, New York
NPI 1881053775

Excelsior Integrated Medical Group, Pllc is a Mammography Clinic/Center based in New York, NY and is specialized in Radiology, Mammography. Excelsior Integrated Medical Group, Pllc practices in Brooklyn, NY. The NPI Number for Excelsior Integrated Medical Group, Pllc is 1881053775 and holds a License No. 250205 (New York).

The current practice location address for Excelsior Integrated Medical Group, Pllc is 758 61St St, Brooklyn, NY and can be reached out via phone at 718-522-1118 and via fax at 212-335-0320.

Location: 758 61St St, Brooklyn, NY, 10013-4888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881053775
Provider Name
Excelsior Integrated Medical Group, Pllc
Credential
Provider Entity Type
Organization
Address
758 61St St, Brooklyn, NY, 10013-4888
Phone Number
718-522-1118
Fax Number
212-335-0320
Provider Enumeration Date
02/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
758 61St St
City
Brooklyn
State
New York
Zip
11220-4212
Phone Number
718-522-1118
Fax Number
212-335-0320
person
Provider Business Mailing Address Details
Address
758 61St St
City
Brooklyn
State
New York
Zip
11220-4212
Phone Number
718-522-1118
Fax Number
212-335-0320
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
228377 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
250205 (New York)
Definition
Definition to come...
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