Excella Medicine Pc
LBN: Excella Medicine Pc
Excella Medicine Pc is an health care organization with primary practice located at 4915 Broadway Suite 1G, New York NY 10034-3119. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Excella Medicine Pc can be contacted via phone (212) 544-9513, or through Perez, Michael via phone (212) 544-9513.
Contact Information
Primary practice address
4915 Broadway Suite 1G
New York NY 10034-3119
Phone: (212) 544-9513
Fax: (212) 544-0402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 170543 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 170543 | New York |
Profile Details
| NPI number | 1174812812 |
|---|---|
| LBN Legal business name | Excella Medicine Pc |
| DBA Doing business as | |
| Authorized official | Perez, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Apr 4th, 2011 - about 14 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 | 1174812812 | NPPES |
| New York | Other | P00633190 | MEDICARE RAILROAD |
| New York | MEDICAID | 01196487 | MEDICARE RAILROAD |
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