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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
251S00000X
Community/Behavioral Health Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
10/08/2020
Last updated
05/01/2026
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