| NPI | 1912302233 |
|---|---|
| Doing Business As | PERFORMANCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARVELL SCOTT Owner 212-486-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 241676-1) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |