# CONCORDE MEDICAL GROUP,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023022217
- **Authorized official:** PAULA MARCHETTA M.D. (CEO)
- **Authorized official phone:** (212) 614-0039

## Contact information

- **Practice address:** 232 E 30TH ST, NEW YORK, NY 10016-8202
- **Practice address phone:** (212) 614-0039
- **Practice address fax:** (212) 253-9631
- **Mailing address:** 316 E 30TH ST, 2ND FLOOR, NEW YORK, NY 10016-8303
- **Mailing address phone:** (212) 614-0039
- **Mailing address fax:** (212) 253-9631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 01/08/2016