Excelcium Med Group, Pc
LBN: Excelcium Med Group, Pc
Excelcium Med Group, Pc is an health care organization with primary practice located at 435 Ft Washington Avenue Suite 1C, New York NY 10033-3527. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Excelcium Med Group, Pc can be contacted via phone (212) 923-0408, or through Goris, Jose A via phone (212) 923-0408.
Contact Information
Primary practice address
435 Ft Washington Avenue Suite 1C
New York NY 10033-3527
Phone: (212) 923-0408
Fax: (212) 923-4032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 190663 | New York |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 190663 | New York |
Profile Details
| NPI number | 1902042815 |
|---|---|
| LBN Legal business name | Excelcium Med Group, Pc |
| DBA Doing business as | |
| Authorized official | Goris, Jose A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 23rd, 2008 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902042815 | NPPES |
| New York | MEDICAID | 01740610 | |
| New York | Other | 190663 |
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