| Premise Health Of New York Medical, P.c | |
| 
					1801 State Route 17c Owego NY 13827-3900  | |
| (607) 751-3883 | |
| (607) 751-6245 | 
| Full Name | Premise Health Of New York Medical, P.c | 
|---|---|
| Speciality | Clinic/center | 
| Location | 1801 State Route 17c, Owego, 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 Ste 120 Brentwood TN 37027-4993 Ph: () -  | Premise Health Of New York Medical, P.c 1801 State Route 17c Owego NY 13827-3900 Ph: (607) 751-3883  | 
| NPI Number | 1710406939 | 
|---|---|
| Provider Enumeration Date | 09/19/2017 | 
| Last Update Date | 08/16/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710406939 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
United Medical Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 5th Ave, Owego, NY 13827 Phone: 607-687-0350 Fax: 607-687-0333  | |
Keith A Nichols Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Temple St, Suite 100, Owego, NY 13827 Phone: 607-687-5616  | |
Guthrie Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 North Ave, Owego, NY 13827 Phone: 607-687-6101 Fax: 607-687-5994  |