Excelsior Integrated Medical Group

LBN: Excelsior Integrated Medical Group
Excelsior Integrated Medical Group is an health care organization with primary practice located at 217 Grand St Suite 401, New York NY 10013-4396. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as the primary health care specialty. Excelsior Integrated Medical Group can be contacted via phone (212) 390-1830, or through Hall, Geogre via phone (718) 938-3188.

Contact Information

Primary practice address
217 Grand St Suite 401 New York NY 10013-4396
Phone: (212) 390-1830
Fax: (212) 390-8177
Website:
Map and Directions
Authorized official contact:
Name: Hall, Geogre Doctor of Medicine (MD)
Phone: (718) 938-3188

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9389049 New York

Profile Details

NPI number 1275081838
LBN Legal business name Excelsior Integrated Medical Group
DBA Doing business as
Authorized official Hall, Geogre Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2016
Last updated Sep 13th, 2016 - about 9 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.

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