| Premise Health Of New York Medical, P.c | |
|
5194 Commercial Dr Yorkville NY 13495-1110 | |
| (931) 422-2030 | |
| Not Available |
| Full Name | Premise Health Of New York Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5194 Commercial Dr, Yorkville, New York |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of New York Medical, P.c 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of New York Medical, P.c 5194 Commercial Dr Yorkville NY 13495-1110 Ph: (931) 422-2030 |
| NPI Number | 1891368247 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891368247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |