# PREMISE HEALTH OF NEW YORK MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mutual Health Center New York
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275123028
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 200 LIBERTY ST FL 31, NEW YORK, NY 10281-1003
- **Practice address phone:** (212) 803-5525
- **Practice address fax:** (212) 504-3295
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2021
- **Last updated:** 02/10/2026