Organization Name: | EXCEL MEDICAL CARE |
NPI Number: | 1477601383 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDRZEJ J GACEK (MEDICAL DIRECTOR) |
Mailing Address: | 4348 Colden St Flushing |
State: | NY US |
Postal Code: | 113553934 |
Phone Number: | 7189615060 |
Fax Number: | 7189615900 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 238703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |