Organization
PERFORMANCE MEDICAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVELL SCOTT (OWNER/MD)
(212) 203-1835
Entity
Organization
Contact information
Practice address
70 E 55TH ST FL 2, NEW YORK, NY 10022-3396
(516) 388-5110
Mailing address
2050 LAKEVILLE RD STE 2, NEW HYDE PARK, NY 11040-1639
(516) 388-5110
(516) 517-9515
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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