Organization
EXCELSIOR INTEGRATED MEDICAL GROUP PLL, DBA EXCELSIOR LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEI YE PHD (LAB MANAGER)
(718) 888-0750
Entity
Organization
Contact information
Practice address
4218 162ND ST FL 2, FLUSHING, NY 11358-4125
(718) 888-0750
Mailing address
4218 162ND ST FL 2, FLUSHING, NY 11358-4125
(718) 888-0750
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D2094053
NY
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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