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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

NPI # 1457831174
LBN Legal business name PERFORMANCE MEDICAL PRAACTICE LLC
Authorized official JONATHAN PHILLIPS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2018
Last updated 08/21/2018 - About 8 years ago
Identifiers
NY License # 284515
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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