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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC

Active Organization

EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC is a Radiology, Mobile Mammography organization located in BROOKLYN, New York. NPI 1881053775 is currently active in the NPPES registry. Verify at CMS.

Radiology, Mobile Mammography · BROOKLYN, NY

Registration Details

NPI Number
1881053775
Provider Type
Organization
NPI Issued
Feb 19, 2016 (10.504357284856 yrs)
Last Updated
Jun 12, 2020
Licenses
250205 (NY)
228377 (NY)

Practice Information

Address
758 61ST ST
BROOKLYN, NY, 112204212
Browse NY providers · Browse ZIP 11220
Phone
7185221118
Fax
2123350320
Primary Specialty
Radiology, Mobile Mammography
261QR0206X
Additional Specialty
Specialist
Additional Specialty
Radiology, Mobile Mammography
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.