Organization
EXCELSIOR INTEGRATED MEDICAL GROUP, PLLC
Active
Other names
Healthier Imaging & Lab, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HALL M.D. (PRESIDENT)
(212) 335-0328
Entity
Organization
Contact information
Practice address
758 61ST ST, BROOKLYN, NY 11220-4212
(718) 522-1118
(212) 335-0320
Mailing address
94 BOWERY, NEW YORK, NY 10013-4888
(212) 335-0328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
228377
NY
174400000X
Specialist
250205
NY
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
06/12/2020
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