Performance Medical Praactice LLC
Performance Medical Praactice LLC is a Sports Medicine (Family Medicine) Physician in New York, New York. Licensed in New York. Registered with an NPI since 2018.
- Licensed in
- NY
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
160 E 56th St 3rd FlNew York, NY 10011
Phone: (646) 866-6076
Fax: (917) 261-7912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X · Licence 284515 (NY) |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X · Licence 284515 (NY) |
Record details
| NPI number | 1457831174 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Phillips — Owner · (347) 813-0535 |
| NPI enumerated | August 21, 2018 |
| Last updated in NPPES | August 21, 2018 |
| Mailing address | 160 E 56th St, 3rd Floor, New York, NY 10011 |
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