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Organization
EXCELLA MEDICINE PC
Active
Organization
EXCELLA MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PEREZ M.D (MEDICAL DOCTOR)
(212) 544-9513
Entity
Organization
Contact information
Practice address
4915 BROADWAY SUITE 1G, NEW YORK, NY 10034-3122
(212) 544-9513
(212) 544-0402
Mailing address
4915 BROADWAY SUITE 1G, NEW YORK, NY 10034-3122
(212) 544-9513
(212) 544-0402
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
170543
NY
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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