# MEDCOR INC.

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

## Provider details

- **NPI number:** 1407187917
- **Authorized official:** MS. SALLY ANNE JUSTINE REXACH APRN, MSN, FNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (212) 664-4444

## Contact information

- **Practice address:** 30 ROCKEFELLER PLZ, SUITE 754S-9, NEW YORK, NY 10112-0015
- **Practice address phone:** (212) 664-4444
- **Mailing address:** 30 ROCKEFELLER PLZ, SUITE 754S -9, NEW YORK, NY 10112-0015
- **Mailing address phone:** (212) 664-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | F33677-1 | NY | Yes |

## Other

- **Enumeration date:** 01/22/2010
- **Last updated:** 01/22/2010