MEDICARE: EXCEL IMAGING, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1528156288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL IMAGING, PC

Provider Business Mailing Address
First Line	:	7235 51ST AVE
Second Line	:	SUITE B
City	:	WOODSIDE
State	:	NY
Zip	:	11377-7610
Country	:	US
Telephone Number	:	718-446-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2746 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-5326
Country	:	US
Telephone Number	:	718-446-7500
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. FAISAL A. SAMI
Credential	:	MD
Telephone Number	:	718-446-7500

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	10/09/2007

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