Organization
PERFORMANCE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVELL SCOTT MD (DIRECTOR)
(212) 486-8616
Entity
Organization
Contact information
Practice address
570 LEXINGTON AVE, SUITE 1903, NEW YORK, NY 10022-6837
(212) 486-8616
(212) 486-8621
Mailing address
70 E 55TH ST, 2ND FLOOR, NEW YORK, NY 10022-3222
(212) 486-8616
(212) 486-8621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X005160-2
NY
171100000X
Acupuncturist
229782-A
NY
261QM2500X
Medical Specialty Clinic/Center
Primary
241676-1
NY
Other
Enumeration date
08/10/2010
Last updated
02/27/2014
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