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Contact Information

PERFORMANCE MEDICAL PRAACTICE LLC
160 E 56TH ST
3RD FLOOR
NEW YORK, NY10011
 Phone: 646-866-6076
 Fax: 917-261-7912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PERFORMANCE MEDICAL PRAACTICE LLC · (Female)

NPI # 1457831174
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2018
Last updated 08/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 284515
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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