Organization
CONCORDE MEDICAL GROUP,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA MARCHETTA M.D. (CEO)
(212) 614-0039
Entity
Organization
Contact information
Practice address
232 E 30TH ST, NEW YORK, NY 10016-8202
(212) 614-0039
(212) 253-9631
Mailing address
316 E 30TH ST, 2ND FLOOR, NEW YORK, NY 10016-8303
(212) 614-0039
(212) 253-9631
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
01/08/2016
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