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Organization
EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC
Active
Organization
EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HALL M.D. (PRESIDENT)
(212) 335-0328
Entity
Organization
Contact information
Practice address
217 GRAND ST, SUITE 401, NEW YORK, NY 10013-4396
(212) 390-1830
(212) 390-8177
Mailing address
217 GRAND ST, SUITE 401, NEW YORK, NY 10013-4396
(212) 390-1830
(212) 390-8177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
203601
NY
Other
Enumeration date
09/06/2013
Last updated
02/03/2016
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