# PERFORMANCE MEDICAL OFFICE PLLC

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

## Provider details

- **NPI number:** 1740801018
- **Authorized official:** DR. MARVELL SCOTT (OWNER/MD)
- **Authorized official phone:** (212) 203-1835

## Contact information

- **Practice address:** 70 E 55TH ST FL 2, NEW YORK, NY 10022-3396
- **Practice address phone:** (516) 388-5110
- **Mailing address:** 2050 LAKEVILLE RD STE 2, NEW HYDE PARK, NY 11040-1639
- **Mailing address phone:** (516) 388-5110
- **Mailing address fax:** (516) 517-9515

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2020
- **Last updated:** 04/28/2020