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:
Map and Directions
Authorized official contact:
Name: Perez, Michael
Phone: (212) 544-9513

Health care specialties

SpecialtyCodeLicense #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 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174812812 NPPES
New York Other P00633190 MEDICARE RAILROAD
New York MEDICAID 01196487 MEDICARE RAILROAD

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