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Organization
EXCELSIOR SERVICES GROUP LLC
Active
Organization
EXCELSIOR SERVICES GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA ELKESHK FNP-BC (EXECUTIVE DIRECTOR)
(917) 463-6166
Entity
Organization
Contact information
Practice address
415 MAIN AVE, WOOD RIDGE, NJ 07075-2055
(917) 463-6166
Mailing address
415 MAIN AVE, WOOD RIDGE, NJ 07075-2055
(917) 463-6166
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
05/01/2026
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